Provider Demographics
NPI:1487973988
Name:AROS, JESUS (PHD PSYCHOLOGY)
Entity type:Individual
Prefix:DR
First Name:JESUS
Middle Name:
Last Name:AROS
Suffix:
Gender:M
Credentials:PHD PSYCHOLOGY
Other - Prefix:DR
Other - First Name:JESSE
Other - Middle Name:
Other - Last Name:AROS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD PSYCHOLOGY
Mailing Address - Street 1:1753 ARANSAS PASS DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-8464
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1753 ARANSAS PASS DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-8464
Practice Address - Country:US
Practice Address - Phone:956-473-9548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33492103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling