Provider Demographics
NPI:1558714618
Name:BILYEU, JEFF
Entity Type:Individual
Prefix:
First Name:JEFF
Middle Name:
Last Name:BILYEU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 S CENTRAL AVE STE 212A
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-7833
Mailing Address - Country:US
Mailing Address - Phone:541-401-1862
Mailing Address - Fax:
Practice Address - Street 1:724 S CENTRAL AVE STE 212A
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-7833
Practice Address - Country:US
Practice Address - Phone:541-858-8170
Practice Address - Fax:541-858-8167
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health