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1730763129
JESSICA RENE JOHNSON
PORTLAND, OR
NPI
1730763129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
JESSICA RENE JOHNSON CADC 1
9570 SW BARBUR BLVD ACADIA NW SUITE 100
PORTLAND, OR 97219
Phone number: 503-245-6262
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Mailing Address
JESSICA RENE JOHNSON CADC 1
12330 SE BUSH STREET APT. 15
PORTLAND, OR 97236
Phone number: 971-206-1028
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