IndividualActive
Adayis Jackson, L.C.D.C
NPI 1003264086 · Addiction (Substance Use Disorder) Counselor · Austin, TX
Provider details
- NPI number
- 1003264086
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- L.C.D.C
- Sex
- Male
- Sole proprietor
- No
- License
- 12026 (TX)
Practice location
8711 Burnet Rd Ste. A-3
Austin, TX 78757-7043
Phone: (512) 257-0066
Fax: (512) 459-0499
Mailing address
8711 Burnet Rd Ste. A-3
Austin, TX 78757
Registry dates
- Enumerated
- 2016-05-31
- Last updated
- 2016-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.