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:
Health care specialties
Specialty | Code | License # | 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 3 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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