MR. Adayis Marshay Jackson SR., L.C.D.C

NPI #1003264086 in Austin, Texas

Provider Information

NPI Number
1003264086
Entity Type
Individual
Name
MR. Adayis Marshay Jackson SR., L.C.D.C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
L.C.D.C
Enumeration Date
May 31, 2016
Last Updated
May 31, 2016

Practice Location

Address
8711 BURNET RD STE. A-3
City
Austin
State
Texas
ZIP Code
78757-7043
Phone
(512) 257-0066

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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