Individual
ANIELKHA MERCEDES JIMENEZ TIJERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW96417
Contact information
Practice address
901 WILSHIRE BLVD FL 1, SANTA MONICA, CA 90401-1854
(310) 829-8945
(424) 212-5934
Mailing address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 744-5230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
CA
1041C0700X
Clinical Social Worker
Primary
LCSW96417
CA
Other
Enumeration date
01/04/2012
Last updated
11/22/2022
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