MEDICARE: MRS. ROSE ANGELES JIMENEZ-JONES M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1538481643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSE ANGELES JIMENEZ-JONES M.S.

Provider Business Mailing Address
First Line	:	1005 E LAS TUNAS DR # 301
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1614
Country	:	US
Telephone Number	:	951-444-1202
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 E LAS TUNAS DR # 301
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1614
Country	:	US
Telephone Number	:	951-444-1202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2010
Last Update Date	:	06/21/2023

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