Individual
JONATHAN A PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1140 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-2821
(208) 580-5431
(208) 906-8525
Mailing address
1225 E 18TH N, MOUNTAIN HOME, ID 83647-1822
(208) 985-3228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12974
ID
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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