KIM MARIE JOLICOEUR

SAN LUIS OBISPO, CA
NPI1104164813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  3001-I)
Enumeration Date2013-01-30
Last Update Date2013-01-30
Business Address
KIM MARIE JOLICOEUR
3350 EDUCATION DR
SAN LUIS OBISPO, CA 93405-7816
Phone number: 805-543-7732
Mailing Address
KIM MARIE JOLICOEUR
5353 OLMEDA AVE 1
ATASCADERO, CA 93422-3368
Phone number: 805-591-0776