Individual
DAWN JOLICOEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
510 SE 13TH STREET, GRAND RAPIDS, MN 55744
(218) 327-2570
Mailing address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301624
MN
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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