Individual provider · Type 1 NPI

Jeslyn Stamm, MSCP, CADC-II, CCJP

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1336403849 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229-5442

Other practice locations

  • 6601 NE 78th Ct Ste A3, Portland, OR 97218-2823 · (503) 252-3949

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1336403849

Jeslyn Stamm, MSCP, CADC-II, CCJP's National Provider Identifier is 1336403849, issued on Jun 28, 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 Nov 13, 2019.