Individual provider · Type 1 NPI

Gloria I. Jimenez, MA

Mental Health Counselor · Philadelphia, PA

NPI number 1003142860 Active

Practice location

2152 N Front St
Philadelphia, PA 19122-1705

Fax (484) 221-9130

Mailing address

2030 W Tilghman St, Suite 105B
Allentown, PA 18104-4354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003142860

Gloria I. Jimenez, MA's National Provider Identifier is 1003142860, issued on Oct 28, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 28, 2009.