JOEY LEE WHITTAKER

MCMINNVILLE, OR
NPI1659767952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-04-13
Last Update Date2015-04-13
Business Address
-- JOEY LEE WHITTAKER CADC 2
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
Mailing Address
-- JOEY LEE WHITTAKER CADC 2
4429 FERGUS AVE
EUGENE, OR 97402-1769
Phone number: 541-653-1287