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Individual
TERRY T AULTMAN
Active
Individual
TERRY T AULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
61145
TX
101YP2500X
Professional Counselor
Primary
61145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183143003
—
TX
Enumeration date
05/10/2007
Last updated
04/23/2025
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