CHARLENE JIMERSON - NPI 1144678657 - Counselor in Oakland, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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About Charlene Jimerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLENE JIMERSON (NPI 1144678657) is an individual counselor in Oakland, California and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1144678657

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCHARLENE JIMERSON

Location Address638 21ST ST APT 218Oakland, CA 94612-1890

Mailing Address629 Oakland AveOakland, CA 94611-4567

Phone(510) 927-5180

Sole ProprietorNo

Enumeration DateMay 25, 2016

Last NPPES UpdateMay 6, 2024

NPPES CertifiedMay 6, 2024

✔ NPI 1144678657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CICA05010821 (CA)

638 21ST ST APT 218, Oakland, CA 94612

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Frequently Asked Questions

What is Charlene Jimerson's NPI number?

The NPI number assigned to this healthcare provider is 1144678657, enumerated as an "individual" on May 25, 2016.

Where is the provider located?

The provider is located at 638 21ST ST APT 218 OAKLAND, CA 94612 and the phone number is (510) 927-5180.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.