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NPI Code Detail

MEDICARE: KRISTA CATHERINE JIMENEZ LMHC

MEDICARE: KRISTA CATHERINE JIMENEZ LMHC
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
1101YM0800XMental Health Counselor
2101YM0800XMental Health CounselorLMHC10004292MA

General Provider Information

NPI Number : 1639311343
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA CATHERINE JIMENEZ LMHC
Provider Business Mailing Address
First Line : 198 BOSTON ST
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-2106
Country : US
Telephone Number : 315-491-9247
Fax Number :
Provider Business Practice Location Address
First Line : 198 BOSTON ST
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-2106
Country : US
Telephone Number : 315-491-9247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2009
Last Update Date : 07/10/2025

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Directions to “ KRISTA CATHERINE JIMENEZ LMHC” Practice Location

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