Jonathan Lane Rust, LCDC

NPI #1801419080 in Manor, Texas

Provider Information

NPI Number
1801419080
Entity Type
Individual
Name
Jonathan Lane Rust, LCDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCDC
Enumeration Date
May 22, 2020
Last Updated
May 22, 2020

Practice Location

Address
11503 PARSONS RD
City
Manor
State
Texas
ZIP Code
78653-5220
Phone
(512) 278-4550

Specialties & Taxonomy Codes

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

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