SearchTexas101YP2500X

Jason Fort, LPC

NPI 1912559824 · on the registry since 2019 · sole proprietor

Practice

Address
4103 S Texas Ave Ste 206
Bryan, TX 77802
Phone
(979) 574-9933
Fax
(979) 202-0612
Organisation at this address
Iris Y. Carrillo, Ph.D.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas