Individual provider · Type 1 NPI

Joanne Kelly Jackson, B.A, B.A., CADC 1

Addiction (Substance Use Disorder) Counselor · Hillsboro, OR

NPI number 1417074675 Active

Practice location

205 SE 3rd Ave
Hillsboro, OR 97123-4093

Call (503) 693-3104 Map

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 1417074675

Joanne Kelly Jackson, B.A, B.A., CADC 1's National Provider Identifier is 1417074675, issued on Mar 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hillsboro, OR. The record was last updated on Mar 7, 2008.