Individual
JULIA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
5509 CREEDMOOR RD, RALEIGH, NC 27612-6312
(919) 573-6520
Mailing address
5509 CREEDMOOR RD, RALEIGH, NC 27612-6312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23360
NC
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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