Individual provider · Type 1 NPI

Samuel Lassise

Addiction (Substance Use Disorder) Counselor · Mason City, IA

NPI number 1780190249 Active

Practice location

50 N Eisenhower Ave
Mason City, IA 50401-7340

Mailing address

420 Kellogg Ave
Ames, IA 50010-6226

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT17112 (IA)

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

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About NPI 1780190249

Samuel Lassise's National Provider Identifier is 1780190249, issued on Dec 20, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mason City, IA. The record was last updated on Dec 20, 2017.