Individual
JASON DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCI
Contact information
Practice address
400 MANN ST, SUITE 800, CORPUS CHRISTI, TX 78401-2046
(361) 814-2001
(361) 883-1998
Mailing address
400 MANN ST, SUITE 800, CORPUS CHRISTI, TX 78401-2046
(361) 814-2001
(361) 883-1998
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16965
TX
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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