Individual
CARRIE NICHOLE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 25TH ST, SAN DIEGO, CA 92102-2107
(619) 233-0067
(619) 233-3990
Mailing address
328 33RD ST, SAN DIEGO, CA 92102-4206
(619) 274-4559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19018
CA
Other
Enumeration date
07/17/2025
Last updated
08/08/2025
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