Jimenez, Destiny

Jimenez, Destiny is an sole proprietor health care provider with primary practice located at 1601 2Nd St Ste 104 , San Rafael CA 94901-2701. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Rehabilitation is her primary health care specialty. Jimenez, Destiny can be contacted via phone (415) 459-2395.

Contact Information

Primary practice address
1601 2Nd St Ste 104 San Rafael CA 94901-2701
Phone: (415) 459-2395
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1679167506
LBN Legal business name Jimenez, Destiny
Credentials RADT-1
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2021
Last updated Feb 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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