Individual
CASSANDRA FONSECA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDCC
Contact information
Practice address
1024 P MENDOZA ST, CALEXICO, CA 92231-3608
(858) 208-0121
Mailing address
1024 P MENDOZA ST, CALEXICO, CA 92231-3608
(858) 208-0121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9493
CA
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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