LUCA JAYCE KOHL

ALBANY, OR
NPI1740782911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  1405403)
Enumeration Date2018-03-05
Last Update Date2025-10-28
Business Address
LUCA JAYCE KOHL CADC-R, QMHA-R
1010 11TH AVE SW
ALBANY, OR 97321-2019
Phone number: 541-619-9927
Mailing Address
LUCA JAYCE KOHL CADC-R, QMHA-R
1010 11TH AVE SW
ALBANY, OR 97321-2019
Phone number: 541-619-9927
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