Jacquelyn L Johnson , CADC II, QMHA-II
Counselor - Addiction (Substance Use Disorder) • Gresham, OR
Professional Overview & Biography Verified Profile Summary
Jacquelyn Johnson, CADC II, QMHA-II is a registered healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) in Gresham, OR. Practice services are available at 620 NE 2ND ST under active NPI credentials.
Practice Location & Contact Primary Location
620 Ne 2nd St
Gresham, OR 970307514
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Gresham, OR
Practicing in Gresham, OR (4216 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2024-03-11NUCC Taxonomy Code: 101YA0400X
Definition to come...
NUCC Taxonomy Code: 101YM0800X
Definition to come...
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
CSWA, QMHPC
Counselor - Addiction (Substance Use Disorder)
Counselor - Mental Health
QMHAI
Counselor - Mental Health
QMHAI
Counselor - Addiction (Substance Use Disorder)
CRMIICADCIQMHAR
Social Worker
CADCR, CSWA
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Recorded as JACQUELYN JOHNSON, CADC II/QMHA-II
Counselor (License #24-QMHA-II-000217 in OR)
Recorded as JACQUELYN JOHNSON, CADC II/QMHA-I
Counselor (License #20-QMHA-I-03070 in OR)
Recorded as JACQUELYN JOHNSON, CADC I/QMHA-I
Recorded as JACQUELYN JOHNSON, CADC-R/QMHA-I
Counselor (License #T-20-305 in OR)
NPI status registered as active in NPPES database
Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)
Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)
Recorded as JACQUELYN JOHNSON, QMHA-I
Counselor (License #20-QMHA-I-03070 in OR)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1776 Sw Madison St
Portland, OR 972051715
Phone: 5032241044
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