JACQUELYN JOHNSON, CADC II/QMHA-II
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1700400769
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | 24-QMHA-II-000217 (OR) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 23-05-20274 (OR) |
Frequently Asked Questions
NPI 1700400769 is the National Provider Identifier for JACQUELYN JOHNSON, CADC II/QMHA-II, a Counselor - Addiction (Substance Use Disorder) provider located in Gresham, OR. This NPI was enumerated on June 4, 2020.
JACQUELYN JOHNSON, CADC II/QMHA-II practices at 620 NE 2ND ST, Gresham, OR 97030.
Quick Facts
- NPI
- 1700400769
- Type
- Individual
- Enumerated
- Jun 4, 2020
- Last Updated
- Mar 11, 2024
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