person
Rayeann Jimenez
Addiction (Substance Use Disorder) Counselor in Santa Cruz, California
NPI 1487829263

Rayeann Jimenez is an Addiction (Substance Use Disorder) Counselor based in Santa Cruz, CA and is specialized in Addiction (Substance Use Disorder). Rayeann Jimenez practices in Santa Cruz, CA. The NPI Number for Rayeann Jimenez is 1487829263 and holds a License No. CAADE169846 (California).

The current practice location address for Rayeann Jimenez is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4170 and via fax at 831-454-4663.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
person
Provider Profile Details
NPI Number
1487829263
Provider Name
Rayeann Jimenez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
Provider Enumeration Date
04/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC70042F 01 CA SANTA CRUZ COUNTY MEDI-CAL PTAN#
FHC70044F 01 CA SANTA CRUZ COUNTY MEDI-CAL PTAN#
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAADE169846 (California)
Definition
Definition to come...
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