Individual provider · Type 1 NPI

Jessica Leah Gates

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1316477979 Active

Practice location

1312 SW Washington St
Portland, OR 97205-2327

Call (503) 535-1151 Map

Mailing address

395 SE Regan Hill Loop
Estacada, OR 97023-7400

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1316477979

Jessica Leah Gates's National Provider Identifier is 1316477979, issued on Jun 15, 2017. 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 15, 2017.