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Jessica Denice Pankey, CRM
Addiction (Substance Use Disorder) Counselor in Pendleton, Oregon
NPI 1952913923

Jessica Denice Pankey is an Addiction (Substance Use Disorder) Counselor based in Pendleton, OR and is specialized in Addiction (Substance Use Disorder). Jessica Denice Pankey practices in Pendleton, OR and has the professional credentials of CRM. The NPI Number for Jessica Denice Pankey is 1952913923 and holds a License No. 20-CRM-208 (Oregon).

The current practice location address for Jessica Denice Pankey is 200 Se Hailey Ave, Pendleton, OR and can be reached out via phone at 541-663-4232 and via fax at 541-429-8822.

Location: 200 Se Hailey Ave, Pendleton, OR, 97801-0882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952913923
Provider Name
Jessica Denice Pankey
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
200 Se Hailey Ave, Pendleton, OR, 97801-0882
Phone Number
541-663-4232
Fax Number
541-429-8822
Provider Enumeration Date
08/20/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20-CRM-208 01 OR MHACBO
institution
Provider Business Practice Location Address Details
Address
200 Se Hailey Ave
City
Pendleton
State
Oregon
Zip
97801-3073
Phone Number
541-663-4232
Fax Number
541-429-8822
person
Provider Business Mailing Address Details
Address
200 Se Hailey Ave
City
Pendleton
State
Oregon
Zip
97801-3073
Phone Number
541-663-4232
Fax Number
541-429-8822
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
20-CRM-208 (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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