JACOB F LECLAIR

ONTARIO, OR
NPI1114669611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-04-13
Last Update Date2022-04-13
Business Address
-- JACOB F LECLAIR
1052 SW 4TH AVE STE 2
ONTARIO, OR 97914-2100
Phone number: 541-216-6068
Mailing Address
-- JACOB F LECLAIR
1775 W STATE ST # 230
BOISE, ID 83702-3924
Phone number: 858-280-1525
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