Individual
CHRISTOPHER JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, CASAC
Contact information
Practice address
445 W 240TH ST, 3N, BRONX, NY 10463-2141
(347) 607-9968
Mailing address
445 W 240TH ST, 3N, BRONX, NY 10463-2141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC-27521
NY
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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