Most Relevant Information
Provider Data
| NPI Number: | 1003316571 |
| Provider Name: | JEFFREY PRICE RECOVERY MENTOR |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/20/2018 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
51 SW LEE ST
NEWPORT
OR
973653823
Practice Location Phone/Fax
| Phone: | 5415745960 |
| Fax: | 5415746252 |
Provider Mailing Location
36 SW NYE ST
NEWPORT
OR
973653821
Provider Mailing Phone/Fax
| Phone: | 5412654179 |
| Fax: | 5415746252 |