NPI Profile for PATRICIA M JIMENEZ in MAYODAN, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Case Manager/Care Coordinator |
171M00000X |
| NPI # | 1427776848 |
|
| Status | Active | |
| Credentials | CADC-R | |
| Entity | Individual | |
| Enumeration date | 08/22/2022 | |
| Last updated | 07/03/2025 - About 11 months ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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