Individual
JEFFERY MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 PUBLIC AVE, MONTROSE, PA 18801-1603
(570) 278-3338
Mailing address
PO BOX 366, 36 PUBLIC AVE, MONTROSE, PA 18801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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