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Ms. Jamie Mazhnikova, CADC-R
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1972193332

Jamie Mazhnikova is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Jamie Mazhnikova practices in Portland, OR and has the professional credentials of CADC-R. The NPI Number for Jamie Mazhnikova is 1972193332 and holds a License No. T-20-412 (Oregon).

The current practice location address for Jamie Mazhnikova is 1316 Se 12Th Ave, Portland, OR and can be reached out via phone at 503-897-1916.

Location: 1316 Se 12Th Ave, Portland, OR, 97214-3604
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Provider Profile Details
NPI Number
1972193332
Provider Name
Jamie Mazhnikova
Credential
CADC-R
Provider Entity Type
Individual
Gender
Female
Address
1316 Se 12Th Ave, Portland, OR, 97214-3604
Phone Number
503-897-1916
Fax Number
Provider Enumeration Date
01/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T-20-412 01 OR MHACBO
institution
Provider Business Practice Location Address Details
Address
1316 Se 12Th Ave
City
State
Zip
97214-3604
Phone Number
503-897-1916
Fax Number
person
Provider Business Mailing Address Details
Address
1316 Se 12Th Ave
City
State
Zip
97214-3604
Phone Number
503-897-1916
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-20-412 (Oregon)
Definition
Definition to come...
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