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Individual
ROGER MARTIN
Active
Individual
ROGER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
61692
TX
101YM0800X
Mental Health Counselor
61692
TX
101YP2500X
Professional Counselor
Primary
61692
TX
106H00000X
Marriage & Family Therapist
61692
TX
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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