Individual provider · Type 1 NPI

Susan Dawn Mayberry

Mental Health Counselor · Council Bluffs, IA

NPI number 1861946071 Active

Practice location

801 Harmony St Ste 302
Council Bluffs, IA 51503-3106

Mailing address

117 Valley St
Glenwood, IA 51534-1024

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X20R002 (IA)
Addiction (Substance Use Disorder) Counselor 101YA0400X1314 (NE)
Mental Health Counselor 101YM0800X099212 (IA)
Mental Health Counselor Primary 101YM0800X2243 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1861946071

Susan Dawn Mayberry's National Provider Identifier is 1861946071, issued on Aug 5, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Council Bluffs, IA. The record was last updated on Nov 14, 2023.