Individual
DR. JESSE VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
14901 CENTRAL AVE, CHINO, CA 91710-9500
(909) 597-1821
Mailing address
5260 FOSSIL CREEK PARKWAY, UNIT #9107, FORT COLLINS, CO 80525
(505) 429-7440
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSYC.00014478
COLORADO DEPARTMENT OF REGULATORY AGENCY
CO
Enumeration date
06/27/2016
Last updated
05/05/2021
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