JACOB F LECLAIR

PORTLAND, OR
NPI1114669611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-04-13
Last Update Date2026-01-31
Business Address
JACOB F LECLAIR
1430 NW HOYT ST APT 1001
PORTLAND, OR 97209-2285
Phone number: 541-216-6068
Mailing Address
JACOB F LECLAIR
1819 SW 5TH AVE PMB 382
PORTLAND, OR 97201
Phone number: 503-673-2496
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