Individual provider · Type 1 NPI

Jose Candelario Jimenez

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1619757572 Active

Practice location

515 E 6th St
Los Angeles, CA 90021-1009

Mailing address

1736 W 23rd St
Los Angeles, CA 90018-2101

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1619757572

Jose Candelario Jimenez's National Provider Identifier is 1619757572, issued on Sep 28, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 28, 2023.