Individual
CHELSEA ARIADNA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1266 14TH ST, OAKLAND, CA 94607-2247
(510) 882-7791
Mailing address
1612 62ND ST APT 5, BERKELEY, CA 94703-2638
(661) 932-8354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
10/05/2023
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