Individual
TANIA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.M., LPC
Contact information
Practice address
111 LEXINGTON AVE, PASSAIC, NJ 07055-5246
(973) 471-8006
(973) 471-8006
Mailing address
111 LEXINGTON AVE, PASSAIC, NJ 07055-5246
(973) 471-8006
(973) 471-8006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00473000
NJ
Other
Enumeration date
10/03/2007
Last updated
06/19/2013
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