Carleen S. Jimenez in Salt Lake City - Rehabilitation, Substance Use Disorder

Carleen S. Jimenez - NPI 1396839544

Carleen S. Jimenez is a Rehabilitation, Substance Use Disorder in Salt Lake City, Utah. Carleen S. Jimenez practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Carleen S. Jimenez is 1396839544. The last update date is 2007-07-08.

Carleen S. Jimenez's current location address is 164 N St, Salt Lake City, Utah. You can contact this provider via phone number 8015398475. The mailing address for Carleen S. Jimenez is 164 N St, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Carleen S. Jimenez
Address 164 N St, Salt Lake City, Utah
Phone Number 8015398475
Fax Number
Sole Proprietor Y
Credentials LPC

NPI Number Detail

NPI Number 1396839544
Provider Enumeration Date 2006-10-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 164 N St
City Salt Lake City
State Utah (UT)
Post Code 841033881
Phone Number 8015398475
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rehabilitation, Substance Use Disorder
Taxonomy 261Qr0405X
Licence No 345654-6004
Definition:
Provides therapeutic interventions to treat alcohol and drug addiction.

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FAQs about Carleen S. Jimenez

What is the unique identifier code issued to Carleen S. Jimenez by the Centers for Medicare & Medicaid Services (CMS)?

The Carleen S. Jimenez has been assigned the NPI (National Provider Identifier) 1396839544. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Carleen S. Jimenez is physically located?

The Carleen S. Jimenez is physically situated at the following address: 164 N St, Salt Lake City, UT, 841033881.

What is Carleen S. Jimenez's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Carleen S. Jimenez is Rehabilitation, Substance Use Disorder, and the taxonomy classification code that categorizes this area of expertise is 261Qr0405X.

On what date did Carleen S. Jimenez receive its 1396839544 assignment from the Centers for Medicare & Medicaid Services?

The Carleen S. Jimenez was assigned its 1396839544 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Carleen S. Jimenez most recently updated or revised?

The information pertaining to Carleen S. Jimenez, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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