Individual provider · Type 1 NPI

Jala Akilah Waleed, CADC II, QMHA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1932230653 Active

Practice location

9268 SE Clinton St
Portland, OR 97266-1456

Fax (503) 872-0481

Mailing address

8525 NE Going Pl
Portland, OR 97220-4859

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

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About NPI 1932230653

Jala Akilah Waleed, CADC II, QMHA's National Provider Identifier is 1932230653, issued on Mar 7, 2007. 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 Feb 3, 2009.