Individual provider · Type 1 NPI

Marysol Jimenez, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1225308588 Active

Practice location

231 SE 12th Ave
Portland, OR 97214-1342

Call (503) 546-9975 Map

Fax (503) 546-9976

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10-P-17U (OR)

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

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About NPI 1225308588

Marysol Jimenez, CADC I's National Provider Identifier is 1225308588, issued on Jan 4, 2012. 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 Jan 4, 2012.