Individual
JADE ANN MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1110 W WILLIAM CANNON DR STE 303, AUSTIN, TX 78745-3188
(512) 899-2100
(512) 899-2205
Mailing address
1110 W WILLIAM CANNON DR STE 303, AUSTIN, TX 78745-3188
(512) 899-2100
(512) 899-2205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9755
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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