Individual
CYNTHIA C JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004
(719) 543-8718
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8718
(719) 543-5340
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
992416
CO
1041C0700X
Clinical Social Worker
Primary
CSW.00992416
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04339878
—
CO
Enumeration date
03/19/2007
Last updated
01/14/2025
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