Individual
GABRIELLE MICHELLE JIMMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
17195 NEWHOPE ST STE 205, FOUNTAIN VALLEY, CA 92708-4211
(657) 360-4329
Mailing address
21951 RIMHURST DR UNIT J, LAKE FOREST, CA 92630-5971
(575) 921-5364
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC6954
CA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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