person
Deforrest Kwesi Jackson, CADC-1
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1194356618

Deforrest Kwesi Jackson is an Addiction (Substance Use Disorder) Counselor based in Happy Valley, OR and is specialized in Addiction (Substance Use Disorder). Deforrest Kwesi Jackson practices in Portland, OR and has the professional credentials of CADC-1. The NPI Number for Deforrest Kwesi Jackson is 1194356618 and holds a License No. T-20-047 (Oregon).

The current practice location address for Deforrest Kwesi Jackson is 12670 Nw Barnes Rd Ste 200, Portland, OR and can be reached out via phone at 971-232-3850.

Location: 12670 Nw Barnes Rd Ste 200, Portland, OR, 97086-2626
person
Provider Profile Details
NPI Number
1194356618
Provider Name
Deforrest Kwesi Jackson
Credential
CADC-1
Provider Entity Type
Individual
Gender
Male
Address
12670 Nw Barnes Rd Ste 200, Portland, OR, 97086-2626
Phone Number
971-232-3850
Fax Number
Provider Enumeration Date
02/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12670 Nw Barnes Rd Ste 200
City
State
Zip
97229-9001
Phone Number
971-232-3850
Fax Number
person
Provider Business Mailing Address Details
Address
12670 Nw Barnes Rd Ste 200
City
State
Zip
97229-9001
Phone Number
971-232-3850
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-20-047 (Oregon)
Definition
Definition to come...
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