Jonathan Lane Rust, LCDC
Jonathan Lane Rust, LCDC is an Addiction (Substance Use Disorder) Counselor in Manor, Texas. Licensed in Texas. Registered with an NPI since 2020.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
11503 Parsons RdManor, TX 78653-5220
Phone: (512) 278-4550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 15033 (TX) |
|---|
Record details
| NPI number | 1801419080 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCDC |
| Sole proprietor | No |
| NPI enumerated | May 22, 2020 |
| Last updated in NPPES | May 22, 2020 |
| Certification date | May 22, 2020 |
| Mailing address | 11503 Parsons Rd, Manor, TX 78653-5220 |
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Louis Romano Jr., LCDC
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