Individual provider · Type 1 NPI

Matthew Moses Jimenez

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1932957867 Active

Practice location

2032 Marengo St
Los Angeles, CA 90033-1319

Mailing address

1302 Amethyst St
Redondo Beach, CA 90277-2405

Specialties and licenses

TaxonomyCodeLicense
Other Technician 247200000XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1932957867

Matthew Moses Jimenez's National Provider Identifier is 1932957867, issued on May 7, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 20, 2024.