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Individual

PEDRO JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1412 140TH PL NE, BELLEVUE, WA 98007-3915
(425) 747-7892
(425) 747-8348
Mailing address
1412 140TH PL NE, BELLEVUE, WA 98007-3915
(425) 747-7892
(425) 747-8348

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006245
WA

Other

Enumeration date
01/31/2008
Last updated
06/12/2012
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