MR. Jackie Eugene Johnson SR., CADC II/QMHP-C, CSWA
NPI #1770745457 in Gresham, Oregon
Provider Information
- NPI Number
- 1770745457
- Entity Type
- Individual
- Name
- MR. Jackie Eugene Johnson SR., CADC II/QMHP-C, CSWA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CADC II/QMHP-C, CSWA
- Enumeration Date
- Jun 25, 2008
- Last Updated
- Jan 30, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
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