Individual provider · NPI-1
Jasmin Esmeralda Avelar, LCSW
Social Worker, Clinical · Indio, CA
NPI number1407642630
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1407642630
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jasmin Esmeralda Avelar
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2025
- Certification date
- Apr 15, 2025
- Last updated
- Apr 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 113644 | CA | Yes |
Practice location
82934 Civic Center DrIndio, CA 92201-4308
Phone 760-477-0733
Mailing address
82410 Gable DrIndio, CA 92201-7439
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