person
Jay N Cacka, QMHP,LPCA
Mental Health Counselor in Portland, Oregon
NPI 1518265933

Jay N Cacka is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Jay N Cacka practices in Portland, OR and has the professional credentials of QMHP,LPCA. The NPI Number for Jay N Cacka is 1518265933 and holds a License No. R8729 (Oregon).

The current practice location address for Jay N Cacka is 3415 Se Powell Blvd, Portland, OR and can be reached out via phone at 503-234-9591.

Location: 3415 Se Powell Blvd, Portland, OR, 97266-1225
person
Provider Profile Details
NPI Number
1518265933
Provider Name
Jay N Cacka
Credential
QMHP,LPCA
Provider Entity Type
Individual
Gender
Male
Address
3415 Se Powell Blvd, Portland, OR, 97266-1225
Phone Number
503-234-9591
Fax Number
Provider Enumeration Date
03/09/2011
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
3415 Se Powell Blvd
City
State
Zip
97202-3371
Phone Number
503-234-9591
Fax Number
person
Provider Business Mailing Address Details
Address
3415 Se Powell Blvd
City
State
Zip
97202-3371
Phone Number
503-234-9591
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
R8729 (Oregon)
Definition
Definition to come...
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