JACK JOHNSON, CADC II/QMHP-C, CSWA

CADC II/QMHP-C, CSWA

Addiction (Substance Use Disorder) Counselor

NPI: 1770745457Individual

Specialties, Licenses & Credentials

Addiction (Substance Use Disorder) CounselorPrimary

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

00-11-45(OR)

Clinical Social Worker

Social Worker — Clinical

Code: 1041C0700X

A11750(OR)

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

24-QMHPC-001514(OR)

Contact & Hours

Address: 355 NW DIVISION ST
GRESHAM, OR 97030
Phone: (503) 231-2641

Quick Facts

NPI: 1770745457
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 3
Locations: 1

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