Individual
JUDITH JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LCPC, CEAP
Contact information
Practice address
2919 GWYNNS FALLS PKWY, BALTIMORE, MD 21216-2818
(443) 220-7564
Mailing address
2919 GWYNNS FALLS PKWY, BALTIMORE, MD 21216-2818
(443) 220-7564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2338
MD
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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