Individual provider · Type 1 NPI

Jaclyn Max

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1821811225 Active

Practice location

21440 SE Stark St
Gresham, OR 97030-2024

Call (971) 427-0466 Map

Mailing address

11010 SE Division St Ste 200
Portland, OR 97266-6400

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-24-4370 (OR)

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

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About NPI 1821811225

Jaclyn Max's National Provider Identifier is 1821811225, issued on Nov 4, 2024. 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 Nov 4, 2024.