Individual provider · Type 1 NPI
Angel Jimenez, MA
Addiction (Substance Use Disorder) Counselor · Fitchburg, MA
NPI number
1407019474
Active
Practice location
76 Summer St
Fitchburg, MA 01420-5783
Fax (978) 343-0791
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407019474
Angel Jimenez, MA's National Provider Identifier is 1407019474, issued on Jul 9, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fitchburg, MA. The record was last updated on Jul 9, 2008.