Mr Mark Disbrow Jr, IADC - Counselor in Cedar Rapids, IA

Mr Mark Disbrow Jr, IADC is a Counselor - Addiction (substance Use Disorder) based in Cedar Rapids, Iowa. Mr Mark Disbrow Jr is licensed to practice in Missouri (license number 7379) and his current practice location is 3601 16th Ave Sw, Cedar Rapids, Iowa. He can be reached at his office (for appointments etc.) via phone at (319) 390-4611.

NPI number for Mr Mark Disbrow Jr is 1659907012 and his current mailing address is 11016 218th Ave, Columbus Junction, Iowa. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659907012.

Contact Information

Mr Mark Disbrow Jr, IADC
3601 16th Ave Sw,
Cedar Rapids, IA 52404-2328
(319) 390-4611
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Mark Disbrow Jr
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location3601 16th Ave Sw, Cedar Rapids, Iowa
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659907012
  • Provider Enumeration Date: 03/18/2020
  • Last Update Date: 03/18/2020

Medical Identifiers

Medical identifiers for Mr Mark Disbrow Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659907012NPI-NPPES
7379OtherMOMISSOURI CREDENTIALING BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (Iowa)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 7379 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Disbrow Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Mark Disbrow Jr, IADC
11016 218th Ave,
Columbus Junction, IA 52738-9166

Ph: (417) 664-3454
Mr Mark Disbrow Jr, IADC
3601 16th Ave Sw,
Cedar Rapids, IA 52404-2328

Ph: (319) 390-4611

Reviews and Comments


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