JASON SCOTT ITZ

VICTORIA, TX
NPI1598267767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  38208)
Enumeration Date2018-03-05
Last Update Date2018-03-05
Business Address
JASON SCOTT ITZ CI
506 GLASCOW ST
VICTORIA, TX 77904-1406
Phone number: 361-576-3385
Mailing Address
JASON SCOTT ITZ CI
506 GLASCOW ST
VICTORIA, TX 77904-1406
Phone number: 361-576-3385