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1518721315
JESSICA LEE ANDERSON
PORTLAND, OR
NPI
1518721315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-23-2940)
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
JESSICA LEE ANDERSON CACD-R
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 503-505-2925
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Mailing Address
JESSICA LEE ANDERSON CACD-R
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 503-505-2925
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