Individual provider · Type 1 NPI
Jared Robert Pettit
Addiction (Substance Use Disorder) Counselor · Estacada, OR
NPI number
1407604374
Active
Practice location
380 NW 6th Ave
Estacada, OR 97023-7713
Mailing address
18600 SE Mcloughlin Blvd
Milwaukie, OR 97267-6723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDPT.CO.70090940 (WA) |
| Peer Specialist | 175T00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 26-08-12016 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
9 other providers at this address
- Adrian BautistaPeer Specialist Estacada, OR NPI 1518734854
- James MillerPeer Specialist Estacada, OR NPI 1538049564
- Jamison BryantPeer Specialist Estacada, OR NPI 1588591713
- Justin RyeAddiction (Substance Use Disorder) Counselor Estacada, OR NPI 1386521359
- Karla M. TuelAddiction (Substance Use Disorder) Counselor Estacada, OR NPI 1578138889
- Kim Marie Van Eaton, CADC I, CRM, QMHAAddiction (Substance Use Disorder) Counselor Estacada, OR NPI 1417292863
- Klodoaldo CuevasPeer Specialist Estacada, OR NPI 1700750718
- Patricia ZinkPeer Specialist Estacada, OR NPI 1508726845
- Teesa Twomoons, CRMPeer Specialist Estacada, OR NPI 1609670967
Other addiction (substance use disorder) counselor providers in Estacada
About NPI 1407604374
Jared Robert Pettit's National Provider Identifier is 1407604374, issued on May 7, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Estacada, OR. The record was last updated on Aug 21, 2026.