Joanne Kelly Jackson in Hillsboro - Addiction (substance Use Disorder)
Joanne Kelly Jackson - NPI 1417074675
Joanne Kelly Jackson is a Addiction (substance Use Disorder) in Hillsboro, Oregon. Joanne Kelly Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Joanne Kelly Jackson is 1417074675. The last update date is 2008-03-07.
Joanne Kelly Jackson's current location address is 205 Se 3rd Ave, Hillsboro, Oregon. You can contact this provider via phone number 5036933104. The mailing address for Joanne Kelly Jackson is 205 Se 3rd Ave, Hillsboro, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanne Kelly Jackson |
|---|---|
| Address | 205 Se 3rd Ave, Hillsboro, Oregon |
| Phone Number | 5036933104 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | B.A,B.A.,C |
NPI Number Detail
| NPI Number | 1417074675 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2008-03-07 |
Provider Mailing Address Detail
| Address | 205 Se 3rd Ave |
|---|---|
| City | Hillsboro |
| State | Oregon (OR) |
| Post Code | 971234093 |
| Phone Number | 5036933104 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Joanne Kelly Jackson by the Centers for Medicare & Medicaid Services?
The Joanne Kelly Jackson has been issued the NPI (National Provider Identifier) 1417074675 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Joanne Kelly Jackson's physical address?
The Joanne Kelly Jackson is physically located at 205 Se 3Rd Ave, in the city of Hillsboro, OR, with the postal code 971234093.
What is Joanne Kelly Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Joanne Kelly Jackson is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417074675 to Joanne Kelly Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1417074675 to Joanne Kelly Jackson on 2007-03-23.
When was the Joanne Kelly Jackson's information last updated?
The Joanne Kelly Jackson's information was last updated on 2008-03-07.