JULIE D JACKSON

PORTLAND, OR
NPI1386367860
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  22-09-10526)
Enumeration Date2022-09-21
Last Update Date2022-09-21
Business Address
JULIE D JACKSON CADC
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number: 503-235-8655
Mailing Address
JULIE D JACKSON CADC
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number:
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