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:
Health care specialties
| Specialty | Code | License # | 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 12 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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