Jaclyn Max
Counselor - Addiction (Substance Use Disorder) • Gresham, OR
Professional Overview & Biography Verified Profile Summary
Jaclyn Max is a registered healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) in Gresham, OR. Practice services are available at 21440 SE STARK ST under active NPI credentials.
Practice Location & Contact Primary Location
21440 Se Stark St
Gresham, OR 970302024
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: 2024-11-04NUCC Taxonomy Code: 101YA0400X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Peer Specialist
Counselor - Addiction (Substance Use Disorder)
Peer Specialist
Counselor - Mental Health
Qualified Mental Health Professional
Peer Specialist
CRM, CADCR
Counselor - Addiction (Substance Use Disorder)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 21440 SE STARK ST, GRESHAM, OR 970302024 (Tel: 9714270466)
Registered at 11010 SE DIVISION ST STE 200, PORTLAND, OR 972666400
Recorded as JACLYN MAX
Counselor (License #T-24-4370 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
11010 Se Division St Ste 200
Portland, OR 972666400
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