Organization
PACIFIC ALCOHOL & DRUG COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER A WALLENSTEIN CADC II (EXECUTIVE DIRECTOR/OWNER)
(503) 640-0110
Entity
Organization
Contact information
Practice address
157 SE BASELINE ST, SUITE A, HILLSBORO, OR 97123
(503) 640-0110
(503) 640-0107
Mailing address
157 SE BASELINE ST, SUITE A, HILLSBORO, OR 97123
(503) 640-0110
(503) 640-0107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
OAR4150510000
OR
Other
Enumeration date
11/14/2011
Last updated
03/15/2023
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