Individual
CHRYSTAL JOLICOEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E 15TH AVE, EUGENE, OR 97401-4314
(541) 345-0805
Mailing address
PO BOX 1143, MARCOLA, OR 97454-1143
(541) 852-9959
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10196296
OR
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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