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Individual

JEROME M SLOAN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW/CADC III//QMHP

Contact information

Practice address
1110 SE ALDER ST., SUITE 301 PMB #51, PORTLAND, OR 97214
(541) 212-7089
Mailing address
5606 N WILLIAMS AVE, PORTLAND, OR 97217-2455
(541) 212-7089

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21-06-30017
OR
104100000X
Social Worker
Primary
L10965
OR

Other

Enumeration date
07/11/2017
Last updated
01/06/2025
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