Ackley, John

Ackley, John is an individual health care provider with primary practice located at 3878 Beverly Ave Ne Bldg H, Suite 5, Salem OR 97305-1394. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Ackley, John can be contacted via phone (503) 399-0670.

Contact Information

Primary practice address
3878 Beverly Ave Ne Bldg H, Suite 5 Salem OR 97305-1394
Phone: (503) 399-0670
Fax: (503) 399-0655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12-06-75U Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon
Behavioral Health & Social Service Providers / Counselor 101Y00000X G 16-04-01 Oregon

Profile Details

NPI number 1184068793
LBN Legal business name Ackley, John
Credentials CADC II, CGAC I,QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2013
Last updated May 26th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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