Individual
ADELLA RUTH JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(442) 282-4909
Mailing address
458 BUENA MESA DR, CALIMESA, CA 92320-2133
(951) 609-7178
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
117245
CA
1041C0700X
Clinical Social Worker
117245
CA
Other
Enumeration date
10/12/2023
Last updated
08/20/2025
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