Luis De Jesus, LMSW
Counselor, Mental Health in Phoenix, AZ. Individual provider (NPI-1).
NPI number1104770445
StatusActive
Last updated in NPPESFeb 24, 2026
Details
- NPI
- 1104770445
- Entity type
- Individual (NPI-1)
- Name
- Luis De Jesus
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2026
- Certification date
- Feb 24, 2026
- Last updated
- Feb 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LMSW-19044 | AZ | Yes |
Practice location
3639 W Lincoln StPhoenix, AZ 85009-5516
Phone 602-233-9747
Mailing address
3639 W Lincoln StPhoenix, AZ 85009-5516
Phone 602-233-9747
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