JASON KING

FORT WORTH, TX
NPI1750899225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  14092)
Enumeration Date2018-01-17
Last Update Date2018-01-17
Business Address
Mr. JASON KING
9705 POLK AVE
FORT WORTH, TX 76177-7379
Phone number: 817-847-1610
Mailing Address
Mr. JASON KING
9705 POLK AVE
FORT WORTH, TX 76177-7379
Phone number: 817-847-1610
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