Individual provider · Type 1 NPI
Jack Eugene Johnson Sr., CADC II/QMHP-C, CSWA
Addiction (Substance Use Disorder) Counselor · Gresham, OR
NPI number
1770745457
Active
Practice location
355 NW Division St
Gresham, OR 97030-5523
Fax (503) 231-1654
Mailing address
1776 SW Madison St
Portland, OR 97205-1715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 00-11-45 (OR) |
| Clinical Social Worker | 1041C0700X | A11750 (OR) |
| Mental Health Counselor | 101YM0800X | 24-QMHPC-001514 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
25 other providers at this address
- Native American Rehabilitation Assoc IncFederally Qualified Health Center (FQHC) Gresham, OR NPI 1558112276
- Clifford Ray Dusky, CRM II, PWS, THWPeer Specialist Gresham, OR NPI 1699615484
- David Madison Humphries, CADC I/CRM IIAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1184054710
- Dawnette Kae Looking, CRMAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1679335863
- Deanna Rae Shields, CADCI/CRM/PSSAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1003592759
- Debra Ann Borgelt, CADC II/CRM/PSSAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1548573355
- Drew N. Anderson, CADC-I, QMHA-1, CRMAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1962277699
- Frederick Francis Smith, CADC IIAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1467646307
- Gabrielle Christine Cortes, QMHA-R, PSSPeer Specialist Gresham, OR NPI 1750240800
- James Posey, CRMMental Health Counselor Gresham, OR NPI 1235054743
- Jasilynn Josias Rogers, CADC-R/CRM/PSSAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1811689979
- Jolynn Denise Shaffer, CRM II/QMHA-RAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1467123596
Other addiction (substance use disorder) counselor providers in Gresham
- Deanna Rae Shields, CADCI/CRM/PSSAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1003592759
- Elizabeth L. Valadez, CRM/PSSAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1013765569
- Bonita BaxterAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1033665898
- Laura A. NeumannAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1053686774
- Melissa A. Jones, CRM/PSS/QMHA-RAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1063177269
- Danielle Curtis, CRM-II CADC-I QMHA-RAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1063209914
- Emma SornsonAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1083495923
- Duane W. Kowalski, CRM/PSSAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1093203549
About NPI 1770745457
Jack Eugene Johnson Sr., CADC II/QMHP-C, CSWA's National Provider Identifier is 1770745457, issued on Jun 25, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Aug 3, 2026.