Individual provider · Type 1 NPI

Jacob Kendall Crumley

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1134838683 Active

Practice location

2600 SE Belmont St
Portland, OR 97214-2916

Call (985) 324-0464 Map

Specialties and licenses

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

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

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About NPI 1134838683

Jacob Kendall Crumley's National Provider Identifier is 1134838683, issued on Nov 22, 2022. 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 May 25, 2023.