Individual
BRANDON JETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-II, QMHA-I
Contact information
Practice address
537 SE ALDER ST, PORTLAND, OR 97214-2231
(503) 841-3157
Mailing address
PO BOX 16756, PORTLAND, OR 97292-0576
(503) 654-2749
(503) 208-2596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-04-22
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/18/2014
Last updated
05/31/2019
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