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1912559824
JASON FORT
BRYAN, TX
NPI
1912559824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 77473)
Enumeration Date
2019-07-10
Last Update Date
2023-12-11
Business Address
Mr. JASON FORT LPC
4103 S TEXAS AVE
BRYAN, TX 77802-4040
Phone number: 979-574-9933
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Mailing Address
Mr. JASON FORT LPC
PO BOX 9408
COLLEGE STATION, TX 77842-9408
Phone number: 979-318-2158
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