Jimenez, Jacqueline

Jimenez, Jacqueline is an sole proprietor health care provider with primary practice located at 111 Petrol Pt Suite H, Peachtree City GA 30269-1550. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jimenez, Jacqueline can be contacted via phone (312) 504-8523.

Contact Information

Primary practice address
111 Petrol Pt Suite H Peachtree City GA 30269-1550
Phone: (312) 504-8523
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.010521 Illinois

Profile Details

NPI number 1447681960
LBN Legal business name Jimenez, Jacqueline
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2013
Last updated Dec 9th, 2013 - about 11 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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