Individual
JESSICA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2855 N SPEER BLVD STE D, DENVER, CO 80211-4240
(303) 396-8498
Mailing address
1124 S UNIVERSITY BLVD, DENVER, CO 80210-1907
(303) 907-4629
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009922443
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09927400
CO
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/21/2020
Last updated
09/17/2021
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