Danny Jimenez Sr., CASACT
Counselor, Addiction (Substance Use Disorder) in Staten Island, NY. Individual provider (NPI-1).
NPI number1669934105
StatusActive
Last updated in NPPESApr 3, 2019
Details
- NPI
- 1669934105
- Entity type
- Individual (NPI-1)
- Name
- Mr. Danny Jimenez Sr.
- Credential
- CASACT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2019
- Last updated
- Apr 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 33333 | NY | Yes |
Practice location
1268 Forest AveStaten Island, NY 10302-2312
Phone 718-981-8117 · Fax 718-981-9344
Mailing address
1268 Forest AveStaten Island, NY 10302-2312
Phone 718-981-8117 · Fax 718-981-9344
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All 201 Addiction (Substance Use Disorder) Counselor providers in Staten Island · All 15,106 providers in Staten Island
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