Juan David Jimenez N.C.C. L.M.H.C.

NPI 1336305655 - Counselor - 101YM0800X

NPI Details
NPI 1336305655
Gender Male
Enumeration Date 08/06/2008
Last Updated 08/06/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4700 MILLENIA BLVD
ORLANDO FL, 32839, US
Phone (407) 924-2399
Fax (407) 240-8570
Business Location
4700 MILLENIA BLVD
ORLANDO FL, 32839, US
Phone (407) 924-2399
Fax (407) 240-8570
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number MH6613
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According to our database, Mr. Juan David Jimenez N.C.C. L.M.H.C. NPI is 1336305655, taxonomy code is 101YM0800X and license number is MH6613, license state is located at Florida. Juan David Jimenez N.C.C. L.M.H.C. physically located at 4700 Millenia Blvd, Orlando FL, 32839. NPI Number Juan David Jimenez N.C.C. L.M.H.C. has the Individual type.

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1336305655 NPI number is provided on an as is basis without warranty of any kind. 1336305655 is maintained by the National Plan & Provider Enumeration System. The contents of Juan David Jimenez N.C.C. L.M.H.C. are for informational purposes only.