IndividualActive
Jennifer King, BSW, CADCII
NPI 1932569563 · Addiction (Substance Use Disorder) Counselor · Phoenix, OR
Provider details
- NPI number
- 1932569563
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- BSW, CADCII
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
149 S Main St
Phoenix, OR 97535-6631
Phone: (541) 535-4133
Fax: (541) 535-5458
Approximate (ZIP-level) locationGet directions
Mailing address
149 S Main St
Phoenix, OR 97535-6631
Registry dates
- Enumerated
- 2016-02-24
- Last updated
- 2016-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.