| Doctor Name: | JORDEN KRIMMER |
| NPI Number: | 1548560329 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 6001 Butler Ln Suite 206 Scotts Valley, CA - 950663543 |
| Business Phone Number: | 8312473984 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1598, APTOS |
| State: | CA |
| Postal Code: | 950011598 |
| Phone Number: | 8312473984 |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2010 |
| NPI Last Update Date: | 09/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |