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Individual
FIDEL JIMENEZ JR.
Active
Individual
FIDEL JIMENEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUD COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9851
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9851
CALIFORNIA ASSOCIATION OF DUI TREATMENT PROGRAMS
CA
Enumeration date
07/05/2018
Last updated
07/09/2021
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