person
Lloyd Chris Jackson, MCM,CADCI,CRMII
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1295411338

Lloyd Chris Jackson is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Lloyd Chris Jackson practices in Portland, OR and has the professional credentials of MCM,CADCI,CRMII. The NPI Number for Lloyd Chris Jackson is 1295411338 and holds a License No. 23-CRM-II-0094 (Oregon).

The current practice location address for Lloyd Chris Jackson is 10564 Se Washington St, Portland, OR and can be reached out via phone at 503-228-9229.

Location: 10564 Se Washington St, Portland, OR, 97216-2809
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Provider Profile Details
NPI Number
1295411338
Provider Name
Lloyd Chris Jackson
Credential
MCM,CADCI,CRMII
Provider Entity Type
Individual
Gender
Male
Address
10564 Se Washington St, Portland, OR, 97216-2809
Phone Number
503-228-9229
Fax Number
Provider Enumeration Date
06/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-228-9229
Fax Number
person
Provider Business Mailing Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-228-9229
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
23-05-10745 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
23-CRM-II-0094 (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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