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Jasmine Pettet, CADC1
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1649673955

Jasmine Pettet is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Jasmine Pettet practices in Portland, OR and has the professional credentials of CADC1. The NPI Number for Jasmine Pettet is 1649673955 and holds a License No. 130942 (Oregon).

The current practice location address for Jasmine Pettet is 1132 Sw 13Th Ave, Portland, OR and can be reached out via phone at 503-793-7389.

Location: 1132 Sw 13Th Ave, Portland, OR, 97205-1703
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Provider Profile Details
NPI Number
1649673955
Provider Name
Jasmine Pettet
Credential
CADC1
Provider Entity Type
Individual
Gender
Female
Address
1132 Sw 13Th Ave, Portland, OR, 97205-1703
Phone Number
503-793-7389
Fax Number
Provider Enumeration Date
09/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1568401347 05 OR
institution
Provider Business Practice Location Address Details
Address
1132 Sw 13Th Ave
City
State
Zip
97205-1703
Phone Number
503-793-7389
Fax Number
person
Provider Business Mailing Address Details
Address
1132 Sw 13Th Ave
City
State
Zip
97205-1703
Phone Number
503-793-7389
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
130942 (Oregon)
Definition
Definition to come...
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