Individual
JESUS MOREJON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FMD
Contact information
Practice address
2780 SW 37TH AVE STE 206, COCONUT GROVE, FL 33133-2740
(305) 640-0112
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
757012100
—
FL
Enumeration date
06/14/2006
Last updated
11/18/2019
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