Jacquelyn Taylor Blackwell is a Lake Oswego, Oregon based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Jacquelyn Taylor Blackwell is C4984 for Professional Counselor in Oregon. Her current practice location is 5285 Sw Meadows Rd, Suite 170, Lake Oswego. Patients can book an appointment with her at 503-726-5216.
Jacquelyn Taylor Blackwell is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Jacquelyn Taylor Blackwell 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 Taylor Blackwell
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Female
Credentials:
MS
Accepts Medicare Assignment:
No
Practice Address:
5285 Sw Meadows Rd, Suite 170, Lake Oswego, Oregon, 97035
Phone:
503-726-5216
Fax:
503-726-5218
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:
1194178830
NPI Enumeration Date:
18 Jul, 2016
NPI Last Update On:
09 Feb, 2022
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 Taylor Blackwell are as mentioned below.
License Number
Specialization
State
Status
C4984
Professional Counselor
Oregon
Primary
19-02-02
Addiction (Substance Use Disorder) Counselor
Oregon
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacquelyn Taylor Blackwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500715046
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:
5285 Sw Meadows Rd, Suite 170 Lake Oswego, Oregon
Zip:
97035
Phone Number:
503-726-5216
Fax Number:
503-726-5218
Patients can reach Jacquelyn Taylor Blackwell at 5285 Sw Meadows Rd, Suite 170, Lake Oswego, Oregon or can call to book an appointment on 503-726-5216. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.