Individual
BEVERLY JEANETTE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61623215
WA
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
05/08/2025
Last updated
05/28/2026
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