Individual
JACQUELINE MARIE LETOURNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
25 16TH ST NE, ROCHESTER, MN 55906-4158
(507) 218-4773
(651) 383-4952
Mailing address
726 30TH ST NE, ROCHESTER, MN 55906-8361
(507) 358-5525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305737
MN
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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