Individual
CONNOR C. JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 NW EVERETT ST, PORTLAND, OR 97209-3517
(971) 352-8745
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12223
TX
101YP2500X
Professional Counselor
71590
TX
101YP2500X
Professional Counselor
Primary
C7033
OR
Other
Enumeration date
09/20/2013
Last updated
08/30/2024
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