Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlene Jimerson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1144678657

Charlene Jimerson is an Addiction (Substance Use Disorder) Counselor in Oakland, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

638 21st St Apt 218
Oakland, CA 94612-1890
Phone: (510) 927-5180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CICA05010821 (CA)

Record details

NPI number1144678657
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2016
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address629 Oakland Ave, Oakland, CA 94611-4567

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