Individual provider · Type 1 NPI

Mariah Destini-Rae Jimenez

Mental Health Counselor · Albuquerque, NM

NPI number 1831799758 Active

Practice location

120 Dartmouth Dr SE Apt D
Albuquerque, NM 87106-2261

Call (505) 460-2654 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Counselor 101Y00000XNone listed

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About NPI 1831799758

Mariah Destini-Rae Jimenez's National Provider Identifier is 1831799758, issued on Oct 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 28, 2026.