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1013653377
JONATHAN A PRICE
MOUNTAIN HOME, ID
NPI
1013653377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID 12974)
Enumeration Date
2022-05-10
Last Update Date
2022-05-10
Business Address
JONATHAN A PRICE CADC
1140 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647-2821
Phone number: 208-580-5431
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Mailing Address
JONATHAN A PRICE CADC
1225 E 18TH N
MOUNTAIN HOME, ID 83647-1822
Phone number: 208-985-3228
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