Individual
MR. JASON KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9705 POLK AVE, FORT WORTH, TX 76177-7379
(817) 847-1610
Mailing address
9705 POLK AVE, FORT WORTH, TX 76177-7379
(817) 847-1610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14092
TX
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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