Individual provider · Type 1 NPI

Danny Jimenez Sr., CASACT

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1669934105 Active

Practice location

1268 Forest Ave
Staten Island, NY 10302-2312

Fax (718) 981-9344

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X33333 (NY)

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

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About NPI 1669934105

Danny Jimenez Sr., CASACT's National Provider Identifier is 1669934105, issued on Apr 3, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Apr 3, 2019.