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Individual

JD AKOBIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC-I, QMHA-I

Contact information

Practice address
251 SW ALDER ST, PORTLAND, OR 97204-3105
(818) 669-0892
Mailing address
123 NW 12TH AVE APT 630, PORTLAND, OR 97209-4147
(818) 669-0892

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-05-1127
OR
101YM0800X
Mental Health Counselor
24-QMHA-I-004580
OR

Other

Enumeration date
09/12/2023
Last updated
04/23/2025
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