Individual
JAYDALINE NICKOLETTE JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 SPENCER LN STE 2, SAN ANTONIO, TX 78201-2056
(210) 447-0039
Mailing address
23975 HARDY OAK BLVD APT 4304, SAN ANTONIO, TX 78260-1555
(724) 494-4168
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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