Individual provider · Type 1 NPI
Jessica Adale Hudson, LCDC INTERN
Addiction (Substance Use Disorder) Counselor · Lubbock, TX
NPI number
1174819700
Active
Practice location
2345 50th Street
Lubbock, TX 79412
Fax (806) 780-8383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12904 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1174819700
Jessica Adale Hudson, LCDC INTERN's National Provider Identifier is 1174819700, issued on Jun 22, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lubbock, TX. The record was last updated on Jun 22, 2011.