JOSHUA J LACROSSE

MEDFORD, OR
NPI1235877333
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  07-12-26)
Enumeration Date2022-05-26
Last Update Date2022-05-26
Business Address
Mr. JOSHUA J LACROSSE CADC
1025 E MAIN ST
MEDFORD, OR 97504-7689
Phone number: 541-779-1282
Mailing Address
Mr. JOSHUA J LACROSSE CADC
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-779-1282