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Individual
MR. JESSE CANTU
Active
Individual
MR. JESSE CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW77220
CA
1041C0700X
Clinical Social Worker
Primary
101069
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/11/2017
Last updated
03/12/2024
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