Individual
MICHAEL LONGPRE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
557 NW MONROE AVE, CORVALLIS, OR 97330-4721
(541) 766-6383
Mailing address
557 NW MONROE AVE, CORVALLIS, OR 97330-4721
(541) 766-6383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-06-61U
OR
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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