JEREMY MICHAEL SMITH

ROSEBURG, OR
NPI1508481912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-06-11
Last Update Date2020-06-11
Business Address
JEREMY MICHAEL SMITH
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
Mailing Address
JEREMY MICHAEL SMITH
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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