Individual
MR. AUSTIN W JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
Mailing address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-25-4802
—
101YM0800X
Mental Health Counselor
Primary
24-QMHP-R-2965
OR
101YM0800X
Mental Health Counselor
Primary
R9002
OR
Other
Enumeration date
02/16/2024
Last updated
03/30/2026
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