DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACQUELYN A. CLOUD M.S., CADC II

MEDICARE: JACQUELYN A. CLOUD M.S., CADC II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor05-11-13OR
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1811177868
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELYN A. CLOUD M.S., CADC II
Provider Business Mailing Address
First Line : PO BOX 100
Second Line :
City : ALBANY
State : OR
Zip : 97321-0031
Country : US
Telephone Number : 541-967-3866
Fax Number : 541-812-8814
Provider Business Practice Location Address
First Line : 2730 PACIFIC BLVD SE
Second Line :
City : ALBANY
State : OR
Zip : 97321-5075
Country : US
Telephone Number : 541-967-3866
Fax Number : 541-812-8814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2007
Last Update Date : 10/23/2019

Similar Medicare Providers

1023494408 — REBECCA BENHAM LCSW
Practice Location Address:
2730 PACIFIC BLVD SE
ALBANY, OR
97321-5075
Practice Phone: 541-967-3866
Practice Fax:
1932295672 — SARAH VINICOR MASON LCSW
Practice Location Address:
2730 PACIFIC BLVD SE
ALBANY, OR
97321-5075
Practice Phone: 541-967-9866
Practice Fax:
1083741946 — MALIA P. DELOHERY-DART LCSW
Practice Location Address:
2730 PACIFIC BLVD SE
ALBANY, OR
97321-5075
Practice Phone: 541-967-3866
Practice Fax: 541-672-7146
1598981029 — JASON CHIN LCSW
Practice Location Address:
2730 PACIFIC BLVD SE
ALBANY, OR
97321-5075
Practice Phone: 541-967-3866
Practice Fax:
1376734426 — DARYL A HANDLIN LSCSW
Practice Location Address:
2730 PACIFIC BLVD SE
ALBANY, OR
97321-5075
Practice Phone: 541-967-3866
Practice Fax:
1427211077 — ALLISON POLETTI M.A.
Practice Location Address:
2730 PACIFIC BLVD SE
ALBANY, OR
97321-5075
Practice Phone: 541-967-3866
Practice Fax:

Directions to “ JACQUELYN A. CLOUD M.S., CADC II” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.