Individual
DR. SAMANTHA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1337
Mailing address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC60269765
WA
103TC0700X
Clinical Psychologist
Primary
PY60480722
WA
Other
Enumeration date
09/04/2013
Last updated
05/17/2021
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