Individual provider · Type 1 NPI

Nicole Ann Jensen, CADC

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1124698899 Active

Practice location

6025 SE Belmont St
Portland, OR 97215-1927

Call (503) 477-8495 Map

Fax (503) 208-2233

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18-05-18 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124698899

Nicole Ann Jensen, CADC's National Provider Identifier is 1124698899, issued on Jun 25, 2021. 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 Jun 25, 2021.