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Marysol Jimenez, CADCI
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1225308588

Marysol Jimenez is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Marysol Jimenez practices in Portland, OR and has the professional credentials of CADCI. The NPI Number for Marysol Jimenez is 1225308588 and holds a License No. 10-P-17U (Oregon).

The current practice location address for Marysol Jimenez is 231 Se 12Th Ave, Portland, OR and can be reached out via phone at 503-546-9975 and via fax at 503-546-9976.

Location: 231 Se 12Th Ave, Portland, OR, 97209-3609
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Provider Profile Details
NPI Number
1225308588
Provider Name
Marysol Jimenez
Credential
CADCI
Provider Entity Type
Individual
Gender
Female
Address
231 Se 12Th Ave, Portland, OR, 97209-3609
Phone Number
503-546-9975
Fax Number
503-546-9976
Provider Enumeration Date
01/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
231 Se 12Th Ave
City
State
Zip
97214-1342
Phone Number
503-546-9975
Fax Number
503-546-9976
person
Provider Business Mailing Address Details
Address
231 Se 12Th Ave
City
State
Zip
97214-1342
Phone Number
503-546-9975
Fax Number
503-546-9976
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10-P-17U (Oregon)
Definition
Definition to come...
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