Jimenez, Jacqueline
Jimenez, Jacqueline is an individual health care provider with primary practice located at Bg Crawford F. Sams Health Clinic Unit 45011, Apo AP 96343-5011. 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 (315) 263-4610.Contact Information
Primary practice address
Bg Crawford F. Sams Health Clinic Unit 45011
Apo AP 96343-5011
Phone: (315) 263-4610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY30354 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY303054 | California |
Profile Details
| NPI number | 1508090093 |
|---|---|
| LBN Legal business name | Jimenez, Jacqueline |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2009 |
| Last updated | Nov 28th, 2023 - about last year |
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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