| NPI | 1205458288 | 
|---|---|
| Doing Business As | MANUEL J JIMENEZ JR, MARRIAGE FAMILY THERAPIST, PROFESSIONAL CORP. | 
| Entity Type | Organization | 
| Authorized Contact | MANUEL JIMENEZ JIMENEZ President 209-406-7665  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 1041C0700X Social Worker, Clinical | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2020-05-12 | 
| Last Update Date | 2023-01-03 |