Individual provider · Type 1 NPI
Jacquelyn Taylor Blackwell, MS
Professional Counselor · Lake Oswego, OR
NPI number
1194178830
Active
Practice location
5285 SW Meadows Rd, Suite 170
Lake Oswego, OR 97035
Fax (503) 726-5218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19-02-02 (OR) |
| Professional Counselor Primary | 101YP2500X | C4984 (OR) |
Professional Counselor: Definition to come...
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About NPI 1194178830
Jacquelyn Taylor Blackwell, MS's National Provider Identifier is 1194178830, issued on Jul 18, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Oswego, OR. The record was last updated on Feb 9, 2022.