JESSE HENRIQUEZ

LOS ANGELES, CA
NPI1295948651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-08
Last Update Date2009-08-25
Business Address
-- JESSE HENRIQUEZ CATC
672 S LA FAYETTE PARK PL #6
LOS ANGELES, CA 90057-3251
Phone number: 213-381-3626
Mailing Address
-- JESSE HENRIQUEZ CATC
3211 W 48TH ST
LOS ANGELES, CA 90043-5414
Phone number:
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