KIM MARIE JOLICOEUR NPI 1104164813

NPI Information

  • NPI: 1104164813
  • Provider Name: KIM MARIE JOLICOEUR
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 3350 EDUCATION DR
    SAN LUIS OBISPO, CA
    ZIP 93405
  • Phone: (805) 543-7732

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NPI Details

Kim Marie Jolicoeur is an addiction (substance use disorder) counselor in San Luis Obispo, CA. Kim Marie Jolicoeur NPI is 1104164813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3350 EDUCATION DR
SAN LUIS OBISPO, CA
ZIP 93405-816
Phone: (805) 543-7732

The enumeration date for this NPI number is 1/30/2013 and was last updated on 1/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)3001-ICALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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