MRS. Jacquelyn Lynn Avila, LADAC 1
NPI #1073210837 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1073210837
- Entity Type
- Individual
- Name
- MRS. Jacquelyn Lynn Avila, LADAC 1
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADAC 1
- Enumeration Date
- Feb 13, 2023
- Last Updated
- Oct 13, 2025
Practice Location
- Address
- 495 DUNLOP LN STE 106
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37040-5296
- Phone
- (931) 272-2431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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