JASON IVEANS

PRINEVILLE, OR
NPI1801159256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-06-20
Last Update Date2012-06-20
Business Address
-- JASON IVEANS
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-323-5330
Mailing Address
-- JASON IVEANS
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-323-5330
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