Individual provider · Type 1 NPI

Jimmy Memnon

Addiction (Substance Use Disorder) Counselor · Gainesville, FL

NPI number 1770971376 Active

Practice location

4300 SW 13th St
Gainesville, FL 32608-4006

Call (352) 374-5600 Map

Fax (352) 374-5608

Specialties and licenses

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

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About NPI 1770971376

Jimmy Memnon's National Provider Identifier is 1770971376, issued on Jan 5, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gainesville, FL. The record was last updated on Jan 5, 2015.