Deforrest Kwesi Jackson, CADC-1
Deforrest Kwesi Jackson, CADC-1 is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
12670 NW Barnes Rd Ste 200Portland, OR 97229-9001
Phone: (971) 232-3850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence T-20-047 (OR) |
|---|
Record details
| NPI number | 1194356618 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CADC-1 |
| Sole proprietor | No |
| NPI enumerated | February 3, 2020 |
| Last updated in NPPES | March 3, 2022 |
| Certification date | March 3, 2022 |
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