Jeffery Mead

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Montrose, PA

NPI 1750823779 · NPPES record last updated Nov 8, 2016

Key facts

NPI
1750823779
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
36 Public Ave
Montrose, PA 18801-1603
Phone
(570) 278-3338
NPI assigned
Nov 8, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Trehab Drug and Alcohol Outpatient Program Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

36 Public Ave
Montrose, PA 18801-1603

Mailing address

PO Box 366
36 Public Ave
Montrose, PA 18801

Other providers in Montrose, PA

All providers in Montrose, PA · Addiction (Substance Use Disorder) Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.