Individual
JASON LAMONT BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
5201 MCCART AVE STE H, FORT WORTH, TX 76115-3700
(817) 207-8700
Mailing address
2822 TURNBERRY DR APT 222, ARLINGTON, TX 76006-2324
(682) 284-5678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17200
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
11/20/2024
Last updated
06/23/2025
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