Individual
MRS. JACQUELYN LYNN AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC 1
Contact information
Practice address
495 DUNLOP LN STE 106, CLARKSVILLE, TN 37040-5296
(931) 272-2431
Mailing address
495 DUNLOP LN STE 106, CLARKSVILLE, TN 37040-5296
(931) 272-2431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1808
TN
Other
Enumeration date
02/13/2023
Last updated
10/13/2025
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