NICOLE MICHELLE EDBLOM

EUGENE, OR
NPI1417730391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-08-15
Last Update Date2023-08-15
Business Address
NICOLE MICHELLE EDBLOM
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-343-2993
Mailing Address
NICOLE MICHELLE EDBLOM
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number:
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