Destiny Jimenez
Rehabilitation Psychologist Addiction Psychologist (Substance Use Disorder)
1601 2nd St Ste 104
San Rafael
, California 94901-2701
Destiny Jimenez
Rehabilitation Psychologist Addiction Psychologist (Substance Use Disorder)
1601 2nd St Ste 104
San Rafael
, California 94901-2701
(510) 309-0312
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Destiny Jimenez
- 1601 2nd St Ste 104
- San Rafael, CA
- Zip : 94901-2701
- Phone : (510) 309-0312
Second Address
- Destiny Jimenez
- 1601 2nd St Ste 104
- San Rafael, CA
- Zip : 94901-2701
- Phone : (415) 459-2395
Reviews
FAQs
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In what state does Destiny Jimenez practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| Y | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1679167506 |
|---|---|
| Provider Name | Destiny Jimenez |
| First Address | San Rafael, CA 94901-2701 |
| Second Address | San Rafael, CA 94901-2701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2021 |
| Last Update Date | 22/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.