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Contact Information

PATRICIA M JIMENEZ, CADC-R
102 S 2ND AVE STE E
MAYODAN, NC27027-2712
 Phone: 336-389-8739
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for PATRICIA M JIMENEZ · (Female)

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
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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