Individual
MR. ERIC B JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 769-4005
(219) 769-2508
Mailing address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 769-4005
(219) 769-2508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003249A
IN
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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