Jacquelyn Taylor Blackwell, MS
NPI #1194178830 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1194178830
- Entity Type
- Individual
- Name
- Jacquelyn Taylor Blackwell, MS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MS
- Enumeration Date
- Jul 18, 2016
- Last Updated
- Feb 9, 2022
Practice Location
- Address
- 5285 SW MEADOWS RD
- Address 2
- SUITE 170
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035
- Phone
- (503) 726-5216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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