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Individual

ASHLEY RENEE JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
1926 BEVERLY BLVD, LOS ANGELES, CA 90057-2402
(213) 353-1140
Mailing address
1926 BEVERLY BLVD, LOS ANGELES, CA 90057-2402
(213) 353-1140

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13907
CA

Other

Enumeration date
09/07/2022
Last updated
09/07/2022
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