MRS. JESSICA ADALE HUDSON


Address: 2345 50th Street, Lubbock, TX 79412
Phone: 8067808300

MRS. JESSICA ADALE HUDSON (NPI# 1174819700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174819700
Entity Type Individual
Full Name MRS. JESSICA ADALE HUDSON
Credential LCDC INTERN
Practice Address 2345 50th Street
Lubbock
TX 79412
Mailing Address 2345 50th Street
Managed Care Center
Lubbock
TX 79412
Practice Telephone 8067808300
Practice Fax Number 8067808383
Mailing Telephone 8067808300
Mailing Fax Number 8067808383
Enumeration Date 2011-06-22
Last Update Date 2011-06-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
12904 TX Behavioral Health & Social Service Providers

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Office Location

Street Address 2345 50TH STREET
City LUBBOCK
State TX
Zip Code 79412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861787285 Sarah Delacruz Counselor 2345 50th Street, Lubbock, TX 79412 2011-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801420864 The Kidney Care Center, LLC Clinic/Center 3702 Interstate 27, Lubbock, TX 79412 2020-02-28
1639531254 Lori Ann Boyd Dietitian, Registered 2412 50 Th Street, Lubbock, TX 79412 2016-03-23
1073989083 Jesse Garcia Social Worker 6104 Ave. Q South Drive, Lubbock, TX 79412 2015-08-12
1316294408 Ronald Caporale Physician Assistant 1701 50th Street, Lubbock, TX 79412 2012-08-08
1508152901 Lilian Francisca Hayes Counselor 2345 50th St., Lubbock, TX 79412 2011-06-23
1407189558 David G Smith Counselor 2345 50th Managed Care Center, Lubbock, TX 79412 2009-09-08
1427261205 Barbara J Trotter Dietitian, Registered 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 2007-05-08
1447471057 Elmer Artemus Addington IIi Chiropractor 3410 Avenue Q, Lubbock, TX 79412 2007-05-01
1083779805 Shaun Hamlett Keel PC Psychologist 2402 52nd St., Suite 6, Lubbock, TX 79412 2006-12-22
1124196019 Gary Lee Kimbley Counselor 1105 38th, Lubbock, TX 79412 2006-12-01
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881209633 Latia Green Scherpereel Counselor 4204 49th St, Lubbock, TX 79413-3722 2020-09-09
1851861439 Zachery Brian Sneed Counselor 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 2018-11-27
1447762414 Diana L. Lorber Counselor 4913 S Loop 289, Lubbock, TX 79424-1630 2017-10-31
1881065100 Billy Don Huey Counselor 1804 E 2nd St, Lubbock, TX 79403-4016 2015-10-13
1396111977 Jessica Ann Murphy Counselor 2325 93rd Pl, Lubbock, TX 79423-4423 2015-08-18
1114287992 John Allen Shiflet Counselor 1709 N Fm 179, Lubbock, TX 79416 2012-05-25
1659668481 William Harris Counselor 1705 N. Fm. 179, Lubbock, TX 79416 2011-06-30
1508152901 Lilian Francisca Hayes Counselor 2345 50th St., Lubbock, TX 79412 2011-06-23
1215222633 Casey Wilson Counselor 1705 N. Fm 179, Lubbock, TX 79416 2011-06-14
1861787285 Sarah Delacruz Counselor 2345 50th Street, Lubbock, TX 79412 2011-06-14
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Competitor

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City LUBBOCK
Zip Code 79412

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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