Individual
JOSE DANIEL JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
(510) 317-1444
Mailing address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
98093
CA
104100000X
Social Worker
Primary
98093
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2010
Last updated
12/21/2020
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