Individual provider · Type 1 NPI

Jasmine Pettet, CADC1

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1649673955 Active

Practice location

1132 SW 13th Ave
Portland, OR 97205-1703

Call (503) 793-7389 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X130942 (OR)

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

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About NPI 1649673955

Jasmine Pettet, CADC1's National Provider Identifier is 1649673955, issued on Sep 30, 2014. 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 30, 2014.