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Individual
TIA JIMENEZ
Active
Individual
TIA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010264
NY
101YM0800X
Mental Health Counselor
668
FL
101YP2500X
Professional Counselor
012731
GA
Other
Enumeration date
12/15/2016
Last updated
09/16/2025
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