Jacquelyn L Johnson
CADC II/QMHA-II | Mental Health Counselor
620 Ne 2nd St, Gresham
Oregon, 97030-7514
971-274-3757 503-912-5740
Maps & DirectionsJacquelyn L Johnson is a Gresham, Oregon based counselor who is specialized as Mental Health Counselor. Active license number of Jacquelyn L Johnson is 23-05-20274 for Addiction (Substance Use Disorder) Counselor in Oregon. Her current practice location is 620 Ne 2nd St, Gresham. Patients can book an appointment with her at 971-274-3757.
Jacquelyn L Johnson is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Jacquelyn L Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jacquelyn L Johnson |
| Specialization: | Mental Health Counselor |
| Gender: | Female |
| Credentials: | CADC II/QMHA-II |
| Accepts Medicare Assignment: | No |
| Practice Address: | 620 Ne 2nd St, Gresham,
Oregon, 97030-7514 |
| Phone: | 971-274-3757 |
| Fax: | 503-912-5740 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1700400769 |
| NPI Enumeration Date: | 04 Jun, 2020 |
| NPI Last Update On: | 11 Mar, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacquelyn L Johnson are as mentioned below.
| License Number | Specialization | State | Status | |
| 23-05-20274 | Addiction (Substance Use Disorder) Counselor | Oregon | Primary | |
| 24-QMHA-II-000217 | Mental Health Counselor | Oregon | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacquelyn L Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500783424 | Medicaid | Oregon | |
| 500780897 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1776 Sw Madison St,
Portland, Oregon |
| Zip: | 97205-1715 |
| Phone Number: | 503-224-1044 |
| Fax Number: | 503-621-2235 |
Patients can reach Jacquelyn L Johnson at
620 Ne 2nd St, Gresham, Oregon or can
call to book an appointment on 971-274-3757.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.