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Individual
MR. JESUS ESPINOSA VALENZUELA
Active
Individual
MR. JESUS ESPINOSA VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW/ACP, LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09723
TX
1041C0700X
Clinical Social Worker
I-1142
NM
106H00000X
Marriage & Family Therapist
265
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128971203
—
TX
Enumeration date
12/01/2005
Last updated
10/21/2011
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