JUAN JIMENEZ

Peer Specialist

Active Individual
NPI: 1295341337

Practice Address

713 NW 139TH ST
Edmond, OK 73013

Phone: (702) 249-1309

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1295341337 is the National Provider Identifier for JUAN JIMENEZ, a Peer Specialist provider located in Edmond, OK. This NPI was enumerated on September 22, 2020.
JUAN JIMENEZ practices at 713 NW 139TH ST, Edmond, OK 73013.

Quick Facts

NPI
1295341337
Type
Individual
Enumerated
Sep 22, 2020
Last Updated
Sep 23, 2020

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