Valenzuela, Jesus Espinosa

Valenzuela, Jesus Espinosa is an sole proprietor health care provider with primary practice located at 1725 E Yandell Dr , El Paso TX 79902-5714. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Valenzuela, Jesus Espinosa can be contacted via phone (915) 544-0772.

Contact Information

Primary practice address
1725 E Yandell Dr El Paso TX 79902-5714
Phone: (915) 544-0772
Fax: (915) 534-7887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 09723 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-1142 New Mexico
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 265 Texas

Profile Details

NPI number 1063496180
LBN Legal business name Valenzuela, Jesus Espinosa
Credentials LMSW/ACP, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Oct 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063496180 NPPES
Texas MEDICAID 128971203

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