person
Autumn Jones-bigboy, CADC-R/CRM/PSS
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1235673070

Autumn Jones-bigboy is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Autumn Jones-bigboy practices in Portland, OR and has the professional credentials of CADC-R/CRM/PSS. The NPI Number for Autumn Jones-bigboy is 1235673070 and holds a License No. 16-CRM-163 (Oregon).

The current practice location address for Autumn Jones-bigboy is 1631 Sw Columbia St, Portland, OR and can be reached out via phone at 503-231-2641 and via fax at 503-231-1654.

Location: 1631 Sw Columbia St, Portland, OR, 97216-2809
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Provider Profile Details
NPI Number
1235673070
Provider Name
Autumn Jones-bigboy
Credential
CADC-R/CRM/PSS
Provider Entity Type
Individual
Gender
Female
Address
1631 Sw Columbia St, Portland, OR, 97216-2809
Phone Number
503-231-2641
Fax Number
503-231-1654
Provider Enumeration Date
12/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500730706 05 OR
500755072 05 OR
institution
Provider Business Practice Location Address Details
Address
1631 Sw Columbia St
City
State
Zip
97201-6025
Phone Number
503-231-2641
Fax Number
503-231-1654
person
Provider Business Mailing Address Details
Address
1631 Sw Columbia St
City
State
Zip
97201-6025
Phone Number
503-231-2641
Fax Number
503-231-1654
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
THW0001464 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
16-CRM-163 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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