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1427873843
JASON LAMONT BRISTER
FORT WORTH, TX
NPI
1427873843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-11-20
Last Update Date
2024-11-20
Business Address
JASON LAMONT BRISTER
5201 MCCART AVE STE H
FORT WORTH, TX 76115-3700
Phone number: 817-207-8700
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Mailing Address
JASON LAMONT BRISTER
2822 TURNBERRY DR APT 222
ARLINGTON, TX 76006-2324
Phone number: 682-284-5678
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