JACQUINETTA SUZETTE LEON

PORTLAND, OR
NPI1194542514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-4426)
Enumeration Date2024-09-25
Last Update Date2024-09-25
Business Address
JACQUINETTA SUZETTE LEON CRM, CADC-R
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-927-0649
Mailing Address
JACQUINETTA SUZETTE LEON CRM, CADC-R
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-927-0649