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Individual
MR. JOHN RICHARD MARTINDALE JR.
Active
Individual
MR. JOHN RICHARD MARTINDALE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164270401
—
TX
01
—
164270404
TPI (TEXAS PROVIDER ID)
TX
05
—
164270404
—
TX
01
—
7259LC
BLUE CROSS/BLUE SHIELD #
TX
Enumeration date
08/03/2006
Last updated
08/21/2009
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