Individual provider · Type 1 NPI

Jessica Rene Johnson, CADC 1

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1730763129 Active

Practice location

9570 SW Barbur Blvd Acadia NW, Suite 100
Portland, OR 97219

Call (503) 245-6262 Map

Mailing address

12330 SE Bush Street, Apt. 15
Portland, OR 97236

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 1730763129

Jessica Rene Johnson, CADC 1's National Provider Identifier is 1730763129, issued on May 11, 2021. 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 May 11, 2021.