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1003264086
ADAYIS MARSHAY JACKSON
AUSTIN, TX
NPI
1003264086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12026)
Enumeration Date
2016-05-31
Last Update Date
2016-05-31
Business Address
Mr. ADAYIS MARSHAY JACKSON L.C.D.C
8711 BURNET RD STE. A-3
AUSTIN, TX 78757-7043
Phone number: 512-257-0066
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Mailing Address
Mr. ADAYIS MARSHAY JACKSON L.C.D.C
8711 BURNET RD STE. A-3
AUSTIN, TX 78757
Phone number: 512-257-0066
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