JACQUINETTA SUZETTE LEON CRM, CADC-R
NPI 1194542514
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since September 25, 2024
6200 SE KING RD, PORTLAND, OR 97222(503) 927-0649 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacquinetta Suzette Leon Crm, Cadc-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUINETTA SUZETTE LEON CRM, CADC-R (NPI 1194542514) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (T-24-4426) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1194542514
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUINETTA SUZETTE LEONCredential: CRM, CADC-R
Location Address6200 SE KING RDPortland, OR 97222-2891
Mailing Address6200 Se King RdPortland, OR 97222-2891 · (503) 927-0649
Sole ProprietorNo
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
NPI 1194542514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · T-24-4426
6200 SE KING RD, Portland, OR 97222

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
6200 SE KING RD
PORTLAND, OR 97222
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Counselor (Mental Health)
6200 SE KING RD
PORTLAND, OR 97222
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquinetta Leon's NPI number?

The NPI number for Jacquinetta Leon is 1194542514. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Jacquinetta Leon located?

Jacquinetta Leon practices at 6200 SE King Rd, Portland, OR 97222. The listed phone number is (503) 927-0649.

What is Jacquinetta Leon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacquinetta Leon was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.