Individual
ANDREA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 W FOOTHILL BLVD FL 3, UPLAND, CA 91786-8007
(877) 527-7227
Mailing address
25910 ACERO STE 160, MISSION VIEJO, CA 92691-2777
(714) 996-6865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7572
CA
101YM0800X
Mental Health Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
132467
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/21/2016
Last updated
07/21/2022
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