Individual provider · Type 1 NPI

Kim Marie Jolicoeur

Addiction (Substance Use Disorder) Counselor · San Luis Obispo, CA

NPI number 1104164813 Active

Practice location

3350 Education Dr
San Luis Obispo, CA 93405-7816

Call (805) 543-7732 Map

Mailing address

5353 Olmeda Ave, 1
Atascadero, CA 93422-3368

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3001-I (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104164813

Kim Marie Jolicoeur's National Provider Identifier is 1104164813, issued on Jan 30, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 30, 2013.