| Doctor Name: | LUZ DEJESUS |
| NPI Number: | 1174910509 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 16388 |
| Business Practice Address: | 10680 Sw 186th St 36 Cutler Bay, FL - 331576720 |
| Business Phone Number: | 3059699448 |
| Business Fax Number: | |
| Mailing Address: | 26600 Sw 146th Ct, 505 HOMESTEAD |
| State: | FL |
| Postal Code: | 330326507 |
| Phone Number: | 3059699448 |
| Fax Number: | 3059699748 |
| NPI Enumeration Date: | 04/23/2015 |
| NPI Last Update Date: | 04/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | 16388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ZZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |