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Individual
MRS. JENNIFER L GASTINEAU
Active
Individual
MRS. JENNIFER L GASTINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
19994
TX
101YM0800X
Mental Health Counselor
19994
TX
101YP2500X
Professional Counselor
Primary
19994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1788267
—
TX
Enumeration date
05/01/2007
Last updated
08/10/2009
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