person
Susan E Jacoby, MSLPC
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1184089161

Susan E Jacoby is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Susan E Jacoby practices in Portland, OR and has the professional credentials of MSLPC. The NPI Number for Susan E Jacoby is 1184089161 and holds a License No. LPC C0924 (Oregon).

The current practice location address for Susan E Jacoby is 5228 Ne Hoyt St, Portland, OR and can be reached out via phone at 503-215-1612 and via fax at 503-215-6477.

Location: 5228 Ne Hoyt St, Portland, OR, 97213-3055
person
Provider Profile Details
NPI Number
1184089161
Provider Name
Susan E Jacoby
Credential
MSLPC
Provider Entity Type
Individual
Gender
Female
Address
5228 Ne Hoyt St, Portland, OR, 97213-3055
Phone Number
503-215-1612
Fax Number
503-215-6477
Provider Enumeration Date
12/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5228 Ne Hoyt St
City
State
Zip
97213-3055
Phone Number
503-215-1612
Fax Number
503-215-6477
person
Provider Business Mailing Address Details
Address
5228 Ne Hoyt St
City
State
Zip
97213-3055
Phone Number
503-215-1612
Fax Number
503-215-6477
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC C0924 (Oregon)
Definition
Definition to come...
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