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Individual
REGINALD O'GWIN
Active
Individual
REGINALD O'GWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-A, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13700
TX
101YP2500X
Professional Counselor
Primary
82696
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13700
TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES
TX
01
—
82696
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
12/10/2020
Last updated
12/10/2020
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