Provider Demographics
NPI:1528167921
Name:DEJESUS, FELIX E (LCSW)
Entity type:Individual
Prefix:MR
First Name:FELIX
Middle Name:E
Last Name:DEJESUS
Suffix:
Gender:M
Credentials:LCSW
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Other - Credentials:
Mailing Address - Street 1:U.S. ARMY FAMILY AND MWR
Mailing Address - Street 2:BLDG # 2494 RICKER ROAD, FORT BLISS
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79916
Mailing Address - Country:US
Mailing Address - Phone:915-569-7758
Mailing Address - Fax:915-568-4357
Practice Address - Street 1:U.S. ARMY FAMILY AND MWR
Practice Address - Street 2:BLDG # 2494 RICKER ROAD, FORT BLISS
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79916
Practice Address - Country:US
Practice Address - Phone:915-569-7758
Practice Address - Fax:915-568-4357
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2018-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ44SC013682001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical