Individual provider · Type 1 NPI

Kaitlyn Jungblut

Addiction (Substance Use Disorder) Counselor · Happy Valley, OR

NPI number 1699260836 Active

Practice location

10822 SE 82nd Ave
Happy Valley, OR 97086

Call (503) 239-8400 Map

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X101YA0400X (OR)

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

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About NPI 1699260836

Kaitlyn Jungblut's National Provider Identifier is 1699260836, issued on Jun 29, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Happy Valley, OR. The record was last updated on Jun 29, 2018.