Individual
JALEN MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 E 10 MILE RD, CENTER LINE, MI 48015-1168
(586) 501-3070
Mailing address
2399 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
(248) 475-6300
(248) 475-6730
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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