Individual provider · Type 1 NPI

Autumn Jones-Bigboy, CADC-R/CRM/PSS

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1235673070 Active

Practice location

1631 SW Columbia St
Portland, OR 97201-6025

Fax (503) 231-1654

Mailing address

10564 SE Washington St
Portland, OR 97216-2809

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X16-CRM-163 (OR)
Peer Specialist 175T00000XTHW0001464 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-18-383 (OR)

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

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About NPI 1235673070

Autumn Jones-Bigboy, CADC-R/CRM/PSS's National Provider Identifier is 1235673070, issued on Dec 13, 2016. 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 14, 2023.