Individual provider · Type 1 NPI

Susan E. Jacoby, M.S. LPC

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1184089161 Active

Practice location

5228 NE Hoyt St
Portland, OR 97213-3055

Call (503) 215-1612 Map

Fax (503) 215-6477

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLPC C0924 (OR)

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

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About NPI 1184089161

Susan E. Jacoby, M.S. LPC's National Provider Identifier is 1184089161, issued on Dec 17, 2015. 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 Dec 17, 2015.