Individual
JESLYN STAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCP, CADC-II, CCJP
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(808) 285-3391
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(808) 285-3391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/28/2012
Last updated
11/13/2019
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