Individual
MR. ADAYIS MARSHAY JACKSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.D.C
Contact information
Practice address
8711 BURNET RD STE. A-3, AUSTIN, TX 78757-7043
(512) 257-0066
(512) 459-0499
Mailing address
8711 BURNET RD STE. A-3, AUSTIN, TX 78757
(512) 257-0066
(512) 459-0499
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12026
TX
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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