person
Alan E Mortimore
Addiction (Substance Use Disorder) Counselor in Atlantic, Iowa
NPI 1255796835

Alan E Mortimore is an Addiction (Substance Use Disorder) Counselor based in Atlantic, IA and is specialized in Addiction (Substance Use Disorder). Alan E Mortimore practices in Atlantic, IA. The NPI Number for Alan E Mortimore is 1255796835 and holds a License No. 15113 (Iowa).

The current practice location address for Alan E Mortimore is 1500 E 10Th St, Atlantic, IA and can be reached out via phone at 712-243-5091 and via fax at 712-243-1337.

Location: 1500 E 10Th St, Atlantic, IA, 50022-1935
person
Provider Profile Details
NPI Number
1255796835
Provider Name
Alan E Mortimore
Credential
Provider Entity Type
Individual
Gender
Male
Address
1500 E 10Th St, Atlantic, IA, 50022-1935
Phone Number
712-243-5091
Fax Number
712-243-1337
Provider Enumeration Date
12/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
68236 01 IA WELLMARK
0177394 05 IA
institution
Provider Business Practice Location Address Details
Address
1500 E 10Th St
City
State
Zip
50022-1935
Phone Number
712-243-5091
Fax Number
712-243-1337
person
Provider Business Mailing Address Details
Address
1500 E 10Th St
City
State
Zip
50022-1935
Phone Number
712-243-5091
Fax Number
712-243-1337
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15113 (Iowa)
Definition
Definition to come...
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