Individual provider · Type 1 NPI

Julie D. Jackson, CADC

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1386367860 Active

Practice location

10564 SE Washington St
Portland, OR 97216-2809

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22-09-10526 (OR)

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

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About NPI 1386367860

Julie D. Jackson, CADC's National Provider Identifier is 1386367860, issued on Sep 21, 2022. 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 Sep 21, 2022.