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

Fidel Jimenez Jr., SUDCOUNSELOR

Individual provider Case Manager/Care Coordinator · NPI 1174019863

Fidel Jimenez Jr., SUDCOUNSELOR is a Case Manager/Care Coordinator in Vista, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

550 W Vista Way Ste 202
Vista, CA 92083-5736
Phone: (760) 305-4777
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 9851 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1174019863
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDCOUNSELOR
Sole proprietorYes
NPI enumeratedJuly 5, 2018
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021

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