Organization · Type 2 NPI
Addijackllc
Mental Health Counselor · Shady Shores, TX
NPI number
1972466753
Active
Practice location
145 Chaparral Est
Shady Shores, TX 76208-5735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1972466753
Addijackllc's National Provider Identifier is 1972466753, issued on Dec 8, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shady Shores, TX. The record was last updated on Dec 8, 2025.