JESSICA ANN DUNNAVANT X LCDC
NPI 1063382703
Counselor - Addiction (Substance Use Disorder) in Tyler, TX

Active since November 07, 2025
1510 S VINE AVE, TYLER, TX 75701(877) 848-9810 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Ann Dunnavant X Lcdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ANN DUNNAVANT X LCDC (NPI 1063382703) is an individual addiction (substance use disorder) provider in Tyler, Texas, licensed in Texas (16788) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1063382703
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA ANN DUNNAVANT XCredential: LCDC
Location Address1510 S VINE AVETyler, TX 75701-2826
Mailing Address2718 Danville RdKilgore, TX 75662-8890
Sole ProprietorNo
Enumeration DateNovember 7, 2025
NPPES CertifiedNovember 7, 2025
NPI 1063382703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in TX · 16788
1510 S VINE AVE, Tyler, TX 75701

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Addiction Medicine)
1510 S VINE AVE
TYLER, TX 75701
Clinic/Center (Methadone)
1510 S VINE AVE
TYLER, TX 75701
Licensed Vocational Nurse
1510 S VINE AVE
TYLER, TX 75701
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701
Licensed Vocational Nurse
1510 S VINE AVE
TYLER, TX 75701
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Dunnavant's NPI number?

The NPI number for Jessica Dunnavant is 1063382703. It was assigned to this individual provider in the NPPES registry on November 7, 2025.

Where is Jessica Dunnavant located?

Jessica Dunnavant practices at 1510 S Vine Ave, Tyler, TX 75701. The listed phone number is (877) 848-9810.

What is Jessica Dunnavant's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jessica Dunnavant was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.