Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FIDEL JIMENEZ JR., SUD COUNSELOR
Active Sole ProprietorFIDEL JIMENEZ JR., SUD COUNSELOR is a Addiction (Substance Use Disorder) Counselor healthcare provider located in VISTA, California. NPI 1174019863 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · VISTA, CA
Registration Details
- NPI Number
- 1174019863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2018 (7.925306033707 yrs)
- Last Updated
- Jul 9, 2021
- License
-
9851 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
550 W VISTA WAY STE 202VISTA, CA, 920835736Browse CA providers · Browse ZIP 92083
- Phone
- 7603054777
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in VISTA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. THERESA MARIE HASEGAWA | CADC II, ICADC | 1982721478 |
| MRS. MARY ANNE CATERINO | — | 1821117748 |
| ALFREDO VILLALBA | BSHS, CAS II, CATS | 1285849414 |
| MR. PATRICK MCKEEFERY | CAS | 1528277340 |
| JUDITH ANN JOHNSON | CADC II | 1437368255 |
| MS. LAMONT LITTLE | — | 1669666129 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.