Mychal Jimenez

NPI #1124560198 in Fort Pierce, Florida

Provider Information

NPI Number: 1124560198
Entity Type: Individual
Name: Mychal Jimenez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Nov 8, 2016
Last Updated: Nov 8, 2016

Practice Location

Address: 4500 W MIDWAY RD
City: Fort Pierce
State: Florida
ZIP Code: 34981-4823
Phone: (772) 468-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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