Addijackllc
NPI #1972466753 in Shady Shores, Texas
Provider Information
- NPI Number
- 1972466753
- Entity Type
- Organization
- Organization Name
- Addijackllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 8, 2025
- Last Updated
- Dec 8, 2025
Practice Location
- Address
- 145 CHAPARRAL EST
- City
- Shady Shores
- State
- Texas
- ZIP Code
- 76208-5735
- Phone
- (940) 595-3778
Authorized Official
- Name
- MICHELE MENZIE, LCSW-S
- Title
- OWNER AND THERAPIST
- Phone
- (940) 595-3778
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