person
Steve R Jackson, MA
Mental Health Counselor in Portland, Oregon
NPI 1023145265

Steve R Jackson is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Steve R Jackson practices in Portland, OR and has the professional credentials of MA. The NPI Number for Steve R Jackson is 1023145265 and holds a License No. (Oregon).

The current practice location address for Steve R Jackson is 1818 Se Division St, Portland, OR and can be reached out via phone at 503-258-4408.

Location: 1818 Se Division St, Portland, OR, 97202-1159
person
Provider Profile Details
NPI Number
1023145265
Provider Name
Steve R Jackson
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1818 Se Division St, Portland, OR, 97202-1159
Phone Number
503-258-4408
Fax Number
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1818 Se Division St
City
State
Zip
97202-1159
Phone Number
503-258-4408
Fax Number
person
Provider Business Mailing Address Details
Address
1818 Se Division St
City
State
Zip
97202-1159
Phone Number
503-258-4408
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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