Individual
RAYEANN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C056680518
CA
372600000X
Adult Companion
Primary
C056680518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70042F
SANTA CRUZ COUNTY MEDI-CAL PTAN#
CA
01
—
FHC70044F
SANTA CRUZ COUNTY MEDI-CAL PTAN#
CA
Enumeration date
04/23/2008
Last updated
04/29/2025
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