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1598267767
JASON SCOTT ITZ
VICTORIA, TX
NPI
1598267767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 38208)
Enumeration Date
2018-03-05
Last Update Date
2018-03-05
Business Address
JASON SCOTT ITZ CI
506 GLASCOW ST
VICTORIA, TX 77904-1406
Phone number: 361-576-3385
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Mailing Address
JASON SCOTT ITZ CI
506 GLASCOW ST
VICTORIA, TX 77904-1406
Phone number: 361-576-3385
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