Individual
TWILA S JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI/CRM/PSS/QMHA-I
Contact information
Practice address
620 NE 2ND ST, GRESHAM, OR 97030-7514
(971) 274-3757
(503) 912-5740
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18-CRM-122
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-05-10763
OR
101YM0800X
Mental Health Counselor
24-QMHA-I-004171
OR
175T00000X
Peer Specialist
THW000002875
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500787628
—
OR
05
—
500802681
—
OR
05
—
500819179
—
OR
Enumeration date
12/07/2020
Last updated
06/10/2024
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