# JETER & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jeter & Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487158341
- **Authorized official:** MR. DAVID PAUL JETER SR. LCDC (COUNSELOR)
- **Authorized official phone:** (214) 280-4496

## Contact information

- **Practice address:** 4506 BRADSHAW ST, DALLAS, TX 75215-4429
- **Practice address phone:** (214) 280-4496
- **Mailing address:** 4506 BRADSHAW ST, DALLAS, TX 75215-4429
- **Mailing address phone:** (214) 280-4496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | 5700 | TX | Yes |

## Other

- **Enumeration date:** 03/23/2018
- **Last updated:** 06/11/2019