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

Jacquinetta Suzette Leon, CRM, CADC-R

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194542514

Jacquinetta Suzette Leon, CRM, CADC-R is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

6200 SE King Rd
Portland, OR 97222-2891
Phone: (503) 927-0649
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 T-24-4426 (OR)

Record details

NPI number1194542514
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRM , CADC-R
Sole proprietorNo
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

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