Jacqueline B Pancoast, CADCI
Jacqueline B Pancoast, CADCI is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
Practice location Address checks out
1949 SE 122nd AvePortland, OR 97233-1303
Phone: (971) 271-6313
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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 04-11-30 (OR) |
|---|
Record details
| NPI number | 1992056717 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CADCI |
| Sole proprietor | No |
| NPI enumerated | September 20, 2012 |
| Last updated in NPPES | September 20, 2012 |
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