Most Relevant Information
Provider Data
| NPI Number: | 1003337411 |
| Provider Name: | JANESSA LYNETTE JIMENEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 120452 |
Most Important Dates
| Enumeration Date: | 07/06/2017 |
| Last Updated: | 09/11/2024 |
Provider Practice Location
55 SANTA CLARA AVE STE 200
OAKLAND
CA
946101319
Practice Location Phone/Fax
| Phone: | 7074082255 |
| Fax: |
Provider Mailing Location
PO BOX 511
TRACY
CA
953780511
Provider Mailing Phone/Fax
| Phone: | 2096480714 |
| Fax: |