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Individual
MR. ROBERT K SHUPE
Active
Individual
MR. ROBERT K SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
16000
TX
101YP2500X
Professional Counselor
Primary
16000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123757
CHIP
TX
05
—
163211901
—
TX
01
—
840006
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/28/2006
Last updated
06/12/2024
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