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Juan Miguel Jimenez
Peer Specialist in Edmond, Oklahoma
NPI 1295341337

Juan Miguel Jimenez is a Peer Specialist based in Edmond, OK. Juan Miguel Jimenez practices in Edmond, OK. The NPI Number for Juan Miguel Jimenez is 1295341337 and holds a License No. (Oklahoma).

The current practice location address for Juan Miguel Jimenez is 713 Nw 139Th St, Edmond, OK and can be reached out via phone at 702-249-1309.

Location: 713 Nw 139Th St, Edmond, OK, 73013-1912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295341337
Provider Name
Juan Miguel Jimenez
Credential
Provider Entity Type
Individual
Gender
Male
Address
713 Nw 139Th St, Edmond, OK, 73013-1912
Phone Number
702-249-1309
Fax Number
Provider Enumeration Date
09/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
713 Nw 139Th St
City
Edmond
State
Oklahoma
Zip
73013-1912
Phone Number
702-249-1309
Fax Number
person
Provider Business Mailing Address Details
Address
713 Nw 139Th St
City
Edmond
State
Oklahoma
Zip
73013-1912
Phone Number
702-249-1309
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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