Individual provider · Type 1 NPI
Jessica Jimenez
Counselor · San Bernardino, CA
NPI number
1679133235
Active
Practice location
1053 N D St
San Bernardino, CA 92410-3521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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- Sparkle L. BlackwoodCounselor San Bernardino, CA NPI 1043811417
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About NPI 1679133235
Jessica Jimenez's National Provider Identifier is 1679133235, issued on Jun 17, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 17, 2019.