Individual provider · Type 1 NPI

Regina Gloria Jimenez

Addiction (Substance Use Disorder) Counselor · Bloomington, CA

NPI number 1750929683 Active

Practice location

18612 Santa Ana Ave
Bloomington, CA 92316-2639

Call (909) 421-7120 Map

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 1750929683

Regina Gloria Jimenez's National Provider Identifier is 1750929683, issued on Dec 10, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, CA. The record was last updated on Dec 10, 2019.