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1235877333
JOSHUA J LACROSSE
MEDFORD, OR
NPI
1235877333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 07-12-26)
Enumeration Date
2022-05-26
Last Update Date
2022-05-26
Business Address
Mr. JOSHUA J LACROSSE CADC
1025 E MAIN ST
MEDFORD, OR 97504-7689
Phone number: 541-779-1282
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Mailing Address
Mr. JOSHUA J LACROSSE CADC
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-779-1282
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