Individual
TRICIA L JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LAC
Contact information
Practice address
17431 N 71ST DR STE 103, GLENDALE, AZ 85308-8598
(602) 633-2246
(602) 687-7069
Mailing address
25223 N 73RD LN, PEORIA, AZ 85383-7230
(602) 577-9111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20297
AZ
Other
Enumeration date
08/29/2024
Last updated
09/10/2024
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