Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Valyn Lee Keith-Jackson, CADC1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1609631456

Valyn Lee Keith-Jackson, CADC1 is an Addiction (Substance Use Disorder) Counselor in Gresham, Oregon. Practices as a sole proprietor. Licensed in Maryland and Oregon.

Licensed in
MD, OR
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

620 NE 2nd St
Gresham, OR 97030-7514
Phone: (971) 274-3757
Fax: (503) 912-5740
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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 SC3245 (MD)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 24-R-29 (OR)

Record details

NPI number1609631456
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC1
Sole proprietorYes
NPI enumeratedFebruary 20, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 15, 2024

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