Individual
EVELYN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(323) 826-6300
Mailing address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(323) 826-6300
(310) 787-1809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
03/05/2025
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