Individual
MISS CRISTINA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3514 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 310-5471
(317) 759-7299
Mailing address
953 BUCHANAN ST, FORT WAYNE, IN 46803-4005
(260) 310-5471
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39005804A
IN
101YM0800X
Mental Health Counselor
Primary
88001832A
IN
Other
Enumeration date
02/27/2023
Last updated
05/13/2026
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