Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELYN LYNN AVILA, LADAC 1
Active Sole ProprietorMRS. JACQUELYN LYNN AVILA, LADAC 1 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CLARKSVILLE, Tennessee. NPI 1073210837 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CLARKSVILLE, TN
Registration Details
- NPI Number
- 1073210837
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2023 (3.4955375864625 yrs)
- Last Updated
- Oct 13, 2025
- License
-
1808 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
495 DUNLOP LN STE 106CLARKSVILLE, TN, 370405296Browse TN providers · Browse ZIP 37040
- Phone
- 9312722431
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CLARKSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. LATANYA WHITE MOORE | MA | 1821235151 |
| QUINTIN BLAYLOCK | — | 1194349498 |
| MRS. MARY LAREMORE | LMSW, LADAC II | 1639828924 |
| MISS DIANE CONLEY | LADACII, CAP | 1003541459 |
| MS. KARLY ANN KANTE | MSW | 1740996230 |
| SARA L CONFER | MA, NCC | 1447936885 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.