National Provider Identifier

Laurie Jackson, CADC

Laurie Jackson, CADC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Portland, OR and a listed phone number of (855) 237-9882.

NPI 1124668447Portland, ORAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated December 29, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1124668447
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
January 14, 2020
Last Updated
December 29, 2021

Practice Location

  • 1122 Ne 122Nd Ave Ste A102
  • Portland, OR 97230-2082

Phone: (855) 237-9882

Mailing Address

  • 11400 Se 90Th Ave Apt 1424
  • Happy Valley, OR 97086-2626

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

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Biography

Laurie Jackson, CADC, is a Portland-based addiction counselor. Her public CMS NPI Registry record lists her CADC credential and identifies addiction counseling as her primary professional focus.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1124668447
Entity Type
Individual
Last Name
Jackson
First Name
Laurie
Credential
CADC
Provider Other Last Name
Fortin
Provider Other First Name
Tina
Provider Other Credential Text
CADC
Provider Other Last Name Type Code
5
Mailing Street Address
11400 Se 90Th Ave Apt 1424
Mailing City
Happy Valley
Mailing State
OR
Mailing ZIP Code
97086-2626
Mailing Country
US
Mailing Phone
(503) 607-5791
Practice Street Address
1122 Ne 122Nd Ave Ste A102
Practice City
Portland
Practice State
OR
Practice ZIP Code
97230-2082
Practice Country
US
Practice Phone
(855) 237-9882
Enumeration Date
January 14, 2020
Last Updated
December 29, 2021
Sex
Female
Sole Proprietor
No
Certification Date
December 29, 2021
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)