Most Relevant Information
Provider Data
| NPI Number: | 1003264086 |
| Provider Name: | ADAYIS MARSHAY JACKSON L.C.D.C |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 12026 |
Most Important Dates
| Enumeration Date: | 05/31/2016 |
| Last Updated: | 05/31/2016 |
Provider Practice Location
8711 BURNET RD STE. A-3
AUSTIN
TX
787577043
Practice Location Phone/Fax
| Phone: | 5122570066 |
| Fax: | 5124590499 |
Provider Mailing Location
8711 BURNET RD STE. A-3
AUSTIN
TX
78757
Provider Mailing Phone/Fax
| Phone: | 5122570066 |
| Fax: | 5124590499 |