MARK ALLEN DEJONG

AMES, IA
NPI1730618810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-06-12
Last Update Date2022-07-21
Business Address
MARK ALLEN DEJONG
420 KELLOGG AVE
AMES, IA 50010-6226
Phone number: 515-233-3141
Mailing Address
MARK ALLEN DEJONG
420 KELLOGG AVE
AMES, IA 50010
Phone number: 515-233-3141