Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn L Johnson, CADCII/QMHA-II

Individual provider Mental Health Counselor · NPI 1700400769

Jacquelyn L Johnson, CADCII/QMHA-II is a Mental Health Counselor in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
Specialties on file
2

Practice location Address checks out

620 NE 2nd St
Gresham, OR 97030-7514
Phone: (971) 274-3757
Fax: (503) 912-5740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 23-05-20274 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 24-QMHA-II-000217 (OR)

Record details

NPI number1700400769
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADCII/QMHA-II
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

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