Jesus De La Torre, LCSW Valid NPI

Individual provider · Clinical Social Worker · Slc, UT

NPI

1750380184

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

131507-3501 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2005-07-18

Last updated

2007-07-08