Individual
LUIS DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3639 W LINCOLN ST, PHOENIX, AZ 85009-5516
(602) 233-9747
Mailing address
3639 W LINCOLN ST, PHOENIX, AZ 85009-5516
(602) 233-9747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-19044
AZ
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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