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Jacqueline B Pancoast, CADCI
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1992056717

Jacqueline B Pancoast is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Jacqueline B Pancoast practices in Portland, OR and has the professional credentials of CADCI. The NPI Number for Jacqueline B Pancoast is 1992056717 and holds a License No. 04-11-30 (Oregon).

The current practice location address for Jacqueline B Pancoast is 1949 Se 122Nd Ave, Portland, OR and can be reached out via phone at 971-271-6313.

Location: 1949 Se 122Nd Ave, Portland, OR, 97209-3609
person
Provider Profile Details
NPI Number
1992056717
Provider Name
Jacqueline B Pancoast
Credential
CADCI
Provider Entity Type
Individual
Gender
Female
Address
1949 Se 122Nd Ave, Portland, OR, 97209-3609
Phone Number
971-271-6313
Fax Number
Provider Enumeration Date
09/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1949 Se 122Nd Ave
City
State
Zip
97233-1303
Phone Number
971-271-6313
Fax Number
person
Provider Business Mailing Address Details
Address
1949 Se 122Nd Ave
City
State
Zip
97233-1303
Phone Number
971-271-6313
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
04-11-30 (Oregon)
Definition
Definition to come...
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