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Individual
STAN H LOOPER
Active
Individual
STAN H LOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179405901
—
TX
05
—
179405902
—
TX
05
—
179405903
—
TX
01
—
2478LC
BCBS ID NUMBER
TX
Enumeration date
12/12/2006
Last updated
04/13/2009
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