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Individual

JESUS E VELAZQUEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8235 SANTA MONICA BLVD STE 302, WEST HOLLYWOOD, CA 90046-5969
(888) 684-2779
Mailing address
2423 SMOKEWOOD PL, ESCONDIDO, CA 92026-4009
(760) 802-3435

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4050
CA

Other

Enumeration date
10/03/2018
Last updated
10/03/2018
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