Provider Demographics
NPI:1932322666
Name:ROSARIO-VALENTIN, JESSICA (LBSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:ROSARIO-VALENTIN
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 N STATE HIGHWAY 360
Mailing Address - Street 2:APT. 818
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-8711
Mailing Address - Country:US
Mailing Address - Phone:214-331-0130
Mailing Address - Fax:214-333-7097
Practice Address - Street 1:1353 N WESTMORELAND RD
Practice Address - Street 2:BUILDING F
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-1655
Practice Address - Country:US
Practice Address - Phone:214-331-0130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator