VALYN KEITH-JACKSON, CADC 1
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1609631456
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | SC3245 (MD) |
Frequently Asked Questions
NPI 1609631456 is the National Provider Identifier for VALYN KEITH-JACKSON, CADC 1, a Counselor - Addiction (Substance Use Disorder) provider located in Gresham, OR. This NPI was enumerated on February 20, 2024.
VALYN KEITH-JACKSON, CADC 1 practices at 620 NE 2ND ST, Gresham, OR 97030.
Quick Facts
- NPI
- 1609631456
- Type
- Individual
- Enumerated
- Feb 20, 2024
- Last Updated
- Oct 23, 2024
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