Individual
JESSICA LYNN NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
1333 NW 9TH STREET, PRINEVILLE, OR 97754
(541) 447-2631
(541) 447-2616
Mailing address
1333 NW 9TH STREET, PRINEVILLE, OR 97754
(541) 447-2631
(541) 447-2616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09-P-04
OR
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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