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Individual
MR. JOHN BRIAN OCONNOR
Active
Individual
MR. JOHN BRIAN OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3077LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/18/2006
Last updated
07/08/2007
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