Individual provider · Type 1 NPI

Lloyd Chris Jackson, MCM, CADC I, CRM II

Peer Specialist · Portland, OR

NPI number 1295411338 Active

Practice location

10564 SE Washington St
Portland, OR 97216-2809

Call (503) 228-9229 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X23-CRM-II-0094 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X23-05-10745 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1295411338

Lloyd Chris Jackson, MCM, CADC I, CRM II's National Provider Identifier is 1295411338, issued on Jun 23, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jun 23, 2023.