Individual
AMBER JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
955 E THOMPSON BLVD, VENTURA, CA 93001-3008
(805) 641-9100
Mailing address
955 E THOMPSON BLVD, VENTURA, CA 93001-3008
(805) 641-9100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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