Individual provider · Type 1 NPI

Mark Disbrow Jr., IADC

Addiction (Substance Use Disorder) Counselor · Cedar Rapids, IA

NPI number 1659907012 Active

Practice location

3601 16th Ave SW
Cedar Rapids, IA 52404-2328

Call (319) 390-4611 Map

Mailing address

11016 218th Ave
Columbus Junction, IA 52738-9166

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7379 (MO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1659907012

Mark Disbrow Jr., IADC's National Provider Identifier is 1659907012, issued on Mar 18, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cedar Rapids, IA. The record was last updated on Mar 18, 2020.