Individual provider · Type 1 NPI

Jonathan Lane Rust, LCDC

Addiction (Substance Use Disorder) Counselor · Manor, TX

NPI number 1801419080 Active

Practice location

11503 Parsons Rd
Manor, TX 78653-5220

Call (512) 278-4550 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15033 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1801419080

Jonathan Lane Rust, LCDC's National Provider Identifier is 1801419080, issued on May 22, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Manor, TX. The record was last updated on May 22, 2020.