JACLYN GRACE EVANS

PORTLAND, OR
NPI1831743293
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-07-24
Last Update Date2019-07-24
Business Address
JACLYN GRACE EVANS
1122 NE 122ND AVE
PORTLAND, OR 97230-2081
Phone number: 855-237-9882
Mailing Address
JACLYN GRACE EVANS
1122 NE 122ND AVE STE A102
PORTLAND, OR 97230-2082
Phone number: 855-337-9882
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