Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY JEDDA
ActiveMARY JEDDA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MILWAUKIE, Oregon. NPI 1417849225 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MILWAUKIE, OR
Registration Details
- NPI Number
- 1417849225
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2025 (0.89543194308517 yrs)
- Last Updated
- Jul 16, 2025
Practice Information
- Address
-
6902 SE LAKE RDMILWAUKIE, OR, 972672148Browse OR providers · Browse ZIP 97267
- Phone
- 9714009256
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MILWAUKIE, OR
| Name | Credential | NPI |
|---|---|---|
| WILLIAM DELRAY TOLAND | AAS CADCII,QMHA | 1417093865 |
| CASEY FRANCES BOHANNON | CADC III, QMHP , MS | 1518095553 |
| BENJAMIN D RANDOLPH | CADCIII | 1225252612 |
| MR. MICHAEL JOSEPH POHL | B.A. | 1780996256 |
| MR. MICHAEL DUANE SNYDER | — | 1215206701 |
| MS. KIMBERLY ANN SIEFFERT | CADC II | 1316203086 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.