JACLYN MAX
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1821811225
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | T-24-4370 (OR) |
Frequently Asked Questions
NPI 1821811225 is the National Provider Identifier for JACLYN MAX, a Counselor - Addiction (Substance Use Disorder) provider located in Gresham, OR. This NPI was enumerated on November 4, 2024.
JACLYN MAX practices at 21440 SE STARK ST, Gresham, OR 97030.
Quick Facts
- NPI
- 1821811225
- Type
- Individual
- Enumerated
- Nov 4, 2024
- Last Updated
- Nov 4, 2024
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