Individual
KRISTIN DANIELLE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAS-LAMFT
Contact information
Practice address
4635 S LAKESHORE DR STE 102, TEMPE, AZ 85282-7127
(480) 243-9343
Mailing address
4635 S LAKESHORE DR STE 102, TEMPE, AZ 85282-7127
(480) 243-9343
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAMFT-10543
—
101Y00000X
Counselor
Primary
LMFT-15620
AZ
101YM0800X
Mental Health Counselor
LMFT-15620
AZ
Other
Enumeration date
10/02/2019
Last updated
05/04/2023
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