Individual provider · Type 1 NPI

Jordanna Blair Hale Zaouch, MA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1053619940 Active

Practice location

727 NE 24th Ave
Portland, OR 97232-2222

Mailing address

3024 SW Florida Ct Apt C
Portland, OR 97219-1871

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1053619940

Jordanna Blair Hale Zaouch, MA's National Provider Identifier is 1053619940, issued on Mar 2, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Mar 2, 2011.