JACQUELINE WILLARD

SAINT PETER, MN
NPI1578337903
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301418)
Enumeration Date2023-11-07
Last Update Date2023-11-07
Business Address
JACQUELINE WILLARD LADC
1031 GRACE ST
SAINT PETER, MN 56082-1300
Phone number: 507-364-5312
Mailing Address
JACQUELINE WILLARD LADC
32298 STATE HIGHWAY 13
MONTGOMERY, MN 56069-4348
Phone number: 507-364-5312