Individual provider · Type 1 NPI
Adayis Marshay Jackson Sr., L.C.D.C
Addiction (Substance Use Disorder) Counselor · Austin, TX
NPI number
1003264086
Active
Practice location
8711 Burnet Rd Ste. A-3
Austin, TX 78757-7043
Fax (512) 459-0499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12026 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1003264086
Adayis Marshay Jackson Sr., L.C.D.C's National Provider Identifier is 1003264086, issued on May 31, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Austin, TX. The record was last updated on May 31, 2016.