| Doctor Name: | JENIFFER CONSUELO JIMENEZ |
| NPI Number: | 1346559291 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 10526 Dubnoff Way N Hollywood, CA - 916063921 |
| Business Phone Number: | 8187554950 |
| Business Fax Number: | 8187520783 |
| Mailing Address: | 20946 Bryant St Apt 30, CANOGA PARK |
| State: | CA |
| Postal Code: | 913042806 |
| Phone Number: | 8183006489 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2010 |
| NPI Last Update Date: | 09/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |