person
Jacob Needham, BA
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1992153522

Jacob Needham is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Jacob Needham practices in Portland, OR and has the professional credentials of BA. The NPI Number for Jacob Needham is 1992153522 and holds a License No. (Oregon).

The current practice location address for Jacob Needham is 1312 Sw Washington St, Portland, OR and can be reached out via phone at 503-535-1150 and via fax at 503-535-1191.

Location: 1312 Sw Washington St, Portland, OR, 97208-3007
person
Provider Profile Details
NPI Number
1992153522
Provider Name
Jacob Needham
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
1312 Sw Washington St, Portland, OR, 97208-3007
Phone Number
503-535-1150
Fax Number
503-535-1191
Provider Enumeration Date
05/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1312 Sw Washington St
City
State
Zip
97205-2327
Phone Number
503-535-1150
Fax Number
503-535-1191
person
Provider Business Mailing Address Details
Address
1312 Sw Washington St
City
State
Zip
97205-2327
Phone Number
503-535-1150
Fax Number
503-535-1191
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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