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Contact Information

DESTINY JIMENEZ, RADT-1
1601 2ND ST STE 104
SAN RAFAEL, CA94901-2701
 Phone: 415-459-2395
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DESTINY JIMENEZ · (Female)

NPI Number 1679167506
Status Active
Credentials RADT-1
Entity Individual
Enumeration date 02/22/2021
Last updated 02/22/2021 - About 5 years ago
Sole proprietor 1 Yes
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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