Individual provider · Type 1 NPI
Edgar Jimenez, CADC
Addiction (Substance Use Disorder) Counselor · Waterbury, CT
NPI number
1205019569
Active
Practice location
402 E Main St
Waterbury, CT 06702-1701
Fax (203) 753-3274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CADC1378 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1205019569
Edgar Jimenez, CADC's National Provider Identifier is 1205019569, issued on Dec 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterbury, CT. The record was last updated on Dec 10, 2007.