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Individual
MS. MARTINA TIJERINA PRADO
Active
Individual
MS. MARTINA TIJERINA PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW, M.ED., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61574
TX
171M00000X
Case Manager/Care Coordinator
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138708602
—
TX
05
—
138708610
—
TX
05
—
138708611
—
TX
Enumeration date
03/27/2007
Last updated
10/13/2014
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