Individual provider · Type 1 NPI

Jessica Grace Bott, CADCI, QMHA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1851602825 Active

Practice location

709 NW Everett St
Portland, OR 97209-3517

Call (503) 226-4060 Map

Fax (503) 445-4913

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X08-12-04 (OR)

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

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About NPI 1851602825

Jessica Grace Bott, CADCI, QMHA's National Provider Identifier is 1851602825, issued on Jun 24, 2010. 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 Jun 28, 2010.