JAY N CACKA

PORTLAND, OR
NPI1518265933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R8729)
Enumeration Date2011-03-09
Last Update Date2024-11-21
Business Address
JAY N CACKA QMHP, LPCA
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
Mailing Address
JAY N CACKA QMHP, LPCA
3036 SE 109TH AVE
PORTLAND, OR 97266-1225
Phone number: 503-568-3645
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