Individual provider · Type 1 NPI
Cassandra Fonseca Jimenez, SUDCC
Addiction (Substance Use Disorder) Counselor · Calexico, CA
NPI number
1508790205
Active
Practice location
1024 P Mendoza St
Calexico, CA 92231-3608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 9493 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508790205
Cassandra Fonseca Jimenez, SUDCC's National Provider Identifier is 1508790205, issued on Jun 9, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Calexico, CA. The record was last updated on Jun 9, 2026.