Individual provider · Type 1 NPI

Kyrstin Anne Jimenez, PhD, LPC

Professional Counselor · Cumming, GA

NPI number 1780929422 Active

Practice location

514 W Maple St Ste 406
Cumming, GA 30040-3093

Call (469) 525-9670 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X73381 (TX)
Professional Counselor Primary 101YP2500XLPC010444 (GA)

Professional Counselor: Definition to come...

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About NPI 1780929422

Kyrstin Anne Jimenez, PhD, LPC's National Provider Identifier is 1780929422, issued on Dec 6, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cumming, GA. The record was last updated on Oct 12, 2022.