Individual
MR. EDGAR JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
402 E MAIN ST, WATERBURY, CT 06702-1701
(023) 755-1143
(203) 753-3274
Mailing address
402 E MAIN ST, WATERBURY, CT 06702-1701
(023) 755-1143
(203) 753-3274
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC1378
CT
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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