| Jaclyn Max, | |
|
21440 Se Stark St, Gresham, OR 97030-2024 | |
| (971) 427-0466 | |
| Not Available |
| Full Name | Jaclyn Max |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 21440 Se Stark St, Gresham, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821811225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-24-4370 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Max, 11010 Se Division St Ste 200, Portland, OR 97266-6400 Ph: () - | Jaclyn Max, 21440 Se Stark St, Gresham, OR 97030-2024 Ph: (971) 427-0466 |
Deanna Rae Shields, CADC-R/CHW/CRM/PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 355 Nw Division St, Gresham, OR 97030 Phone: 503-231-2641 Fax: 503-231-1654 | |
Amy Marie Elness, CADC II/QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Ne 2nd St, Gresham, OR 97030 Phone: 971-274-3757 Fax: 503-912-5740 | |
Joey Owen Patton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 E Powell Blvd, Gresham, OR 97030 Phone: 360-977-0450 | |
Mr. Sammy Travis Freshner Jr., M.ED, MAC, LPCRA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1584 Ne 8th St Ste 200, Gresham, OR 97030 Phone: 503-890-8773 | |
Laurie Anne Ricken, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 7th St, Gresham, OR 97030 Phone: 503-661-5455 | |
Mr. David J. Lowe, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1890 Ne Cleveland Ave, Gresham, OR 97030 Phone: 503-492-1200 | |
Drake Miyake, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 300, Gresham, OR 97030 Phone: 503-258-4600 |