STEVEN ANTONELLI MONROE

GRANTS PASS, OR
NPI1215631510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  22-04-20150)
Enumeration Date2023-03-29
Last Update Date2023-03-29
Business Address
STEVEN ANTONELLI MONROE CADC II
1437 NE QUAIL XING
GRANTS PASS, OR 97526-3688
Phone number: 154-122-6505
Mailing Address
STEVEN ANTONELLI MONROE CADC II
1437 NE QUAIL XING
GRANTS PASS, OR 97526-3688
Phone number: 154-122-6505