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1407469075
JONATHAN RICHARD
TYLER, TX
NPI
1407469075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 76905)
Enumeration Date
2020-08-24
Last Update Date
2020-08-25
Business Address
JONATHAN RICHARD LPC
1015 TRINITY DR
TYLER, TX 75702-8757
Phone number: 214-886-4244
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Mailing Address
JONATHAN RICHARD LPC
1015 TRINITY DR
TYLER, TX 75702-8757
Phone number: 214-886-4244
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