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Mr. Adayis Marshay Jackson SR.

Addiction Counselor (Substance Use Disorder)

8711 Burnet Rd Ste. A-3
Austin , Texas 78757-7043

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Mr. Adayis Marshay Jackson SR.

Addiction Counselor (Substance Use Disorder)

8711 Burnet Rd Ste. A-3
Austin , Texas 78757-7043

(512) 459-0499

Write a Review Save Call

Mr. Adayis Marshay Jackson SR.

Addiction Counselor (Substance Use Disorder)

8711 Burnet Rd Ste. A-3
Austin , Texas 78757-7043

(512) 459-0499 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)

Languages spoken

  • English

Location

8711 Burnet Rd Ste. A-3 Austin , Texas 78757-7043

First Address

  • Mr. Adayis Marshay Jackson SR.
  • 8711 Burnet Rd Ste. A-3
  • Austin, TX
  • Zip : 78757
  • Fax : (512) 459-0499
  • Phone : (512) 257-0066

Second Address

  • Mr. Adayis Marshay Jackson SR.
  • 8711 Burnet Rd Ste. A-3
  • Austin, TX
  • Zip : 78757-7043
  • Fax : (512) 459-0499
  • Phone : (512) 257-0066

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FAQs


Where did Mr. Adayis Marshay Jackson SR. attend graduate school?

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Where did Mr. Adayis Marshay Jackson SR. do his residency?

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Where did Mr. Adayis Marshay Jackson SR. do his fellowship?

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Is Mr. Adayis Marshay Jackson SR. board certified?

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What type of doctor is Mr. Adayis Marshay Jackson SR.

Addiction Counselor (Substance Use Disorder)

In what state does Mr. Adayis Marshay Jackson SR. practice in?

Texas

Where is Mr. Adayis Marshay Jackson SR.’s practice located?

8711 Burnet Rd Ste. A-3 , Austin, Texas, 78757-7043

What is Mr. Adayis Marshay Jackson SR.’s gender?

Male

Is Mr. Adayis Marshay Jackson SR. a sole practitioner?

No

Is Mr. Adayis Marshay Jackson SR. accepting new patients?

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What languages does Mr. Adayis Marshay Jackson SR. speak?

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Does Mr. Adayis Marshay Jackson SR. accept insurance?

Yes, Mr. Adayis Marshay Jackson SR. accepts insurance

Does Mr. Adayis Marshay Jackson SR. offers telemedicine?

Mr. Adayis Marshay Jackson SR. has not indicated if he offers telemedicine

What is Mr. Adayis Marshay Jackson SR.’s professional license number?

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What is Mr. Adayis Marshay Jackson SR.’s NPI number?

1003264086

Does Mr. Adayis Marshay Jackson SR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101YA0400X Addiction Counselor (Substance Use Disorder) 12026 TX

National Provider Identifier

NPI 1003264086
Provider Name Mr. Adayis Marshay Jackson SR.
First Address Austin, TX 78757
Second Address Austin, TX 78757-7043
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 31/05/2016
Last Update Date 31/05/2016

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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