person
Mr. Adayis Marshay Jackson SR., LCDC
Addiction (Substance Use Disorder) Counselor in Austin, Texas
NPI 1003264086

Adayis Marshay Jackson SR. is an Addiction (Substance Use Disorder) Counselor based in Austin, TX and is specialized in Addiction (Substance Use Disorder). Adayis Marshay Jackson SR. practices in Austin, TX and has the professional credentials of LCDC. The NPI Number for Adayis Marshay Jackson SR. is 1003264086 and holds a License No. 12026 (Texas).

The current practice location address for Adayis Marshay Jackson SR. is 8711 Burnet Rd Ste. A-3, Austin, TX and can be reached out via phone at 512-257-0066 and via fax at 512-459-0499.

Location: 8711 Burnet Rd Ste. A-3, Austin, TX, 78757
person
Provider Profile Details
NPI Number
1003264086
Provider Name
Adayis Marshay Jackson SR.
Credential
LCDC
Provider Entity Type
Individual
Gender
Male
Address
8711 Burnet Rd Ste. A-3, Austin, TX, 78757
Phone Number
512-257-0066
Fax Number
512-459-0499
Provider Enumeration Date
05/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8711 Burnet Rd Ste. A-3
City
State
Zip
78757-7043
Phone Number
512-257-0066
Fax Number
512-459-0499
person
Provider Business Mailing Address Details
Address
8711 Burnet Rd Ste. A-3
City
State
Zip
78757-7043
Phone Number
512-257-0066
Fax Number
512-459-0499
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12026 (Texas)
Definition
Definition to come...
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