Individual
JEREMY SCOTT JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, PCMHC
Contact information
Practice address
2301 NW THURMAN ST STE F, PORTLAND, OR 97210-2581
(503) 744-7440
(541) 248-1147
Mailing address
4008 LAS CIMBRAS CT SE, RIO RANCHO, NM 87124-1166
(503) 744-7440
(541) 248-1147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C5359
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23026057
—
NM
Enumeration date
08/10/2015
Last updated
01/11/2025
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