person
Julie D Jackson, CADC
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1386367860

Julie D Jackson is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Julie D Jackson practices in Portland, OR and has the professional credentials of CADC. The NPI Number for Julie D Jackson is 1386367860 and holds a License No. 22-09-10526 (Oregon).

The current practice location address for Julie D Jackson is 10564 Se Washington St, Portland, OR and can be reached out via phone at 503-235-8655.

Location: 10564 Se Washington St, Portland, OR, 97216-2809
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Provider Profile Details
NPI Number
1386367860
Provider Name
Julie D Jackson
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
10564 Se Washington St, Portland, OR, 97216-2809
Phone Number
503-235-8655
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22-09-10526 01 OR OREGON MHACBO
institution
Provider Business Practice Location Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-235-8655
Fax Number
person
Provider Business Mailing Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-235-8655
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
22-09-10526 (Oregon)
Definition
Definition to come...
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