person
Jonathan Lane Rust, LCDC
Addiction (Substance Use Disorder) Counselor in Manor, Texas
NPI 1801419080

Jonathan Lane Rust is an Addiction (Substance Use Disorder) Counselor based in Manor, TX and is specialized in Addiction (Substance Use Disorder). Jonathan Lane Rust practices in Manor, TX and has the professional credentials of LCDC. The NPI Number for Jonathan Lane Rust is 1801419080 and holds a License No. 15033 (Texas).

The current practice location address for Jonathan Lane Rust is 11503 Parsons Rd, Manor, TX and can be reached out via phone at 512-278-4550.

Location: 11503 Parsons Rd, Manor, TX, 78653-5220
person
Provider Profile Details
NPI Number
1801419080
Provider Name
Jonathan Lane Rust
Credential
LCDC
Provider Entity Type
Individual
Gender
Male
Address
11503 Parsons Rd, Manor, TX, 78653-5220
Phone Number
512-278-4550
Fax Number
Provider Enumeration Date
05/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11503 Parsons Rd
City
State
Zip
78653-5220
Phone Number
512-278-4550
Fax Number
person
Provider Business Mailing Address Details
Address
11503 Parsons Rd
City
State
Zip
78653-5220
Phone Number
512-278-4550
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15033 (Texas)
Definition
Definition to come...
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