Stephen Daniel Blackman, B.A.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mason City, IA
NPI 1073974895 · NPPES record last updated Mar 8, 2016
Key facts
- NPI
- 1073974895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 320 N Eisenhower Ave
Mason City, IA 50401-1521 - Phone
- (641) 243-7235
- NPI assigned
- Mar 8, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
320 N Eisenhower Ave
Mason City, IA 50401-1521
Mailing address
320 N Eisenhower Ave
Mason City, IA 50401-1521
Phone (641) 243-7235
Other providers in Mason City, IA
- Stephen Anthony Betz
- Sandeep Singh Bhangoo
- Siddharth G Bhatt
- Lisa L Biebesheimer
- Brittani Bjelland
- Michael Adams Blackmore
- Bladder Control Solutions, LLC
- David B Blaha
- Gregory W Blank
- Connie A Bleile
All providers in Mason City, IA · Addiction (Substance Use Disorder) Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.