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Individual
MR. JAMES GORDON MINTO JR.
Active
Individual
MR. JAMES GORDON MINTO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
35983
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00007JB
BLUE CROSS BLUE SHIELD
TX
01
—
0007800054
AETNA
TX
01
—
079049
VALUE OPTIONS/NORTHSTAR
TX
05
—
143465603
—
TX
01
—
146452000
MAGELLAN HEALTH
TX
01
—
1756453
FIRST HEALTH
TX
01
—
203630
MHN
TN
01
—
244277
COMPSYCH
TX
01
—
317895
PRIVATE HEALTHCARE SYSTEM
TX
Enumeration date
10/24/2006
Last updated
08/26/2024
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