| NPI | 1770891004 |
|---|---|
| Other Name | JASON NORTHRUP |
| Entity Type | Organization |
| Authorized Contact | JASON CONRAD NORTHRUP Owner 806-438-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 200911) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 62058) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2013-06-17 |