Individual
DR. KYRSTIN ANNE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
514 W MAPLE ST STE 406, CUMMING, GA 30040-3093
(469) 525-9670
Mailing address
514 W MAPLE ST STE 406, CUMMING, GA 30040-3093
(678) 679-0123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
73381
TX
101YP2500X
Professional Counselor
Primary
LPC010444
GA
Other
Enumeration date
12/06/2012
Last updated
10/12/2022
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