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Individual
GINA L JIMMERSON
Active
Individual
GINA L JIMMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0105341
NM
101YM0800X
Mental Health Counselor
Primary
0152551
NM
Other
Enumeration date
10/15/2008
Last updated
10/26/2012
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