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Individual
GUSTAVO BARCENAS JAIMEZ
Active
Individual
GUSTAVO BARCENAS JAIMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
75861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75861
CLINICAL LICENSE
TX
Enumeration date
08/09/2018
Last updated
06/11/2019
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