Individual provider · Type 1 NPI

Teresa Jimenez, CG60621406

Counselor · Renton, WA

NPI number 1740996313 Active

Practice location

707 S Grady Way Ste 600
Renton, WA 98057-3227

Call (360) 818-4203 Map

Mailing address

PO Box 1146
Kent, WA 98035-1146

Other practice locations

  • 5455 Almira Dr NE, Bremerton, WA 98311-8330 · (360) 373-5031

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XCO61481911 (WA)
Counselor Primary 101Y00000XCG60621406 (WA)

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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About NPI 1740996313

Teresa Jimenez, CG60621406's National Provider Identifier is 1740996313, issued on Jan 26, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Renton, WA. The record was last updated on Aug 9, 2025.