person
Charles Edward Jimenez
Mental Health Counselor in Camarillo, California
NPI 1366759607

Charles Edward Jimenez is a Mental Health Counselor based in Oxnard, CA and is specialized in Mental Health. Charles Edward Jimenez practices in Camarillo, CA. The NPI Number for Charles Edward Jimenez is 1366759607 and holds a License No. (California).

The current practice location address for Charles Edward Jimenez is 1756 S Lewis Rd, Camarillo, CA and can be reached out via phone at 805-383-3669 and via fax at 805-383-3692.

Location: 1756 S Lewis Rd, Camarillo, CA, 93033-3151
person
Provider Profile Details
NPI Number
1366759607
Provider Name
Charles Edward Jimenez
Credential
Provider Entity Type
Individual
Gender
Male
Address
1756 S Lewis Rd, Camarillo, CA, 93033-3151
Phone Number
805-383-3669
Fax Number
805-383-3692
Provider Enumeration Date
09/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
174400000X 01 CA OTHER
institution
Provider Business Practice Location Address Details
Address
1756 S Lewis Rd
City
State
Zip
93012-8520
Phone Number
805-383-3669
Fax Number
805-383-3692
person
Provider Business Mailing Address Details
Address
1756 S Lewis Rd
City
State
Zip
93012-8520
Phone Number
805-383-3669
Fax Number
805-383-3692
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(California)
Definition
Definition to come...
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