Individual
JESSE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
623 W SOUTHERN AVE STE 7, MESA, AZ 85210-5022
(480) 962-9288
Mailing address
623 W SOUTHERN AVE STE 7, MESA, AZ 85210-5022
(480) 962-9288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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