KAITLYN MARIE LICCION

EUGENE, OR
NPI1346809563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-06-11
Last Update Date2022-05-27
Business Address
KAITLYN MARIE LICCION
2145 CENTENNIAL PLZ
EUGENE, OR 97401-2474
Phone number: 541-485-6340
Mailing Address
KAITLYN MARIE LICCION
3039 BRETT LOOP
EUGENE, OR 97404-3805
Phone number: 315-317-2585