Individual provider · Type 1 NPI

Marcial Raya Jimenez Sr.

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1801918933 Active

Practice location

56 S Lincoln St
Stockton, CA 95203-3100

Fax (209) 468-3568

Mailing address

217 E La Mesa Ave
Stockton, CA 95207-3049

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XJ0503011401 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1801918933

Marcial Raya Jimenez Sr.'s National Provider Identifier is 1801918933, issued on Apr 6, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.