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Individual
JONATHAN JOE CABALLERO
Active
Individual
JONATHAN JOE CABALLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
74286
TX
101YP2500X
Professional Counselor
Primary
74286
TX
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385753402
—
TX
Enumeration date
02/22/2018
Last updated
03/31/2021
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