Jackie Eugene Johnson SR. is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Jackie Eugene Johnson SR. practices in Portland, OR and has the professional credentials of CADCII/QMHP-R. The NPI Number for Jackie Eugene Johnson SR. is 1770745457 and holds a License No. 21-QMHP-R-0965 (Oregon).
The current practice location address for Jackie Eugene Johnson SR. is 1631 Sw Coumbia St, Portland, OR and can be reached out via phone at 503-231-2641 and via fax at 503-231-1654.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500800849 | 05 | OR | |
| 500801135 | 05 | OR |
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