Individual provider · Type 1 NPI

Jesse Angel Jimenez, CASAC

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1386464287 Active

Practice location

2235 NE Sandy Blvd
Portland, OR 97232-2859

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 1386464287

Jesse Angel Jimenez, CASAC's National Provider Identifier is 1386464287, issued on Oct 15, 2024. 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 Oct 15, 2024.