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Individual
TONY VIA
Active
Individual
TONY VIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCI
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
70989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70989
STATE LIC #
TX
Enumeration date
09/13/2013
Last updated
11/25/2016
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