person
Mr. Marcial Raya Jimenez SR.
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1801918933

Marcial Raya Jimenez SR. is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Marcial Raya Jimenez SR. practices in Stockton, CA. The NPI Number for Marcial Raya Jimenez SR. is 1801918933 and holds a License No. J0503011401 (California).

The current practice location address for Marcial Raya Jimenez SR. is 56 S Lincoln St, Stockton, CA and can be reached out via phone at 209-468-3560 and via fax at 209-468-3568.

Location: 56 S Lincoln St, Stockton, CA, 95207-3049
person
Provider Profile Details
NPI Number
1801918933
Provider Name
Marcial Raya Jimenez SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
56 S Lincoln St, Stockton, CA, 95207-3049
Phone Number
209-468-3560
Fax Number
209-468-3568
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
56 S Lincoln St
City
State
Zip
95203-3100
Phone Number
209-468-3560
Fax Number
209-468-3568
person
Provider Business Mailing Address Details
Address
56 S Lincoln St
City
State
Zip
95203-3100
Phone Number
209-468-3560
Fax Number
209-468-3568
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
J0503011401 (California)
Definition
Definition to come...
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