Individual provider · Type 1 NPI

Lissan Hugo-Main, B.A.

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

NPI number 1902300890 Active

Practice location

320 N Eisenhower Ave
Mason City, IA 50401-1521

Call (641) 424-2391 Map

Fax (641) 424-0783

Mailing address

PO Box 1338
Mason City, IA 50402-1338

Specialties and licenses

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

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

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About NPI 1902300890

Lissan Hugo-Main, B.A.'s National Provider Identifier is 1902300890, issued on Mar 23, 2018. 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 Mar 23, 2018.