Individual provider · Type 1 NPI

Jaclyn Kahnke, MA, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1508233354 Active

Practice location

6200 SE King Rd
Portland, OR 97222-2891

Call (503) 546-6377 Map

Mailing address

1411 NE 16th Ave, 215
Portland, OR 97232-4407

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 1508233354

Jaclyn Kahnke, MA, CADC I's National Provider Identifier is 1508233354, issued on Aug 27, 2015. 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 Aug 27, 2015.