Individual provider · Type 1 NPI

Fidel Jimenez Jr., SUD COUNSELOR

Addiction (Substance Use Disorder) Counselor · Vista, CA

NPI number 1174019863 Active

Practice location

550 W Vista Way Ste 202
Vista, CA 92083-5736

Call (760) 305-4777 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X9851 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174019863

Fidel Jimenez Jr., SUD COUNSELOR's National Provider Identifier is 1174019863, issued on Jul 5, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vista, CA. The record was last updated on Jul 9, 2021.