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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1235519000

Mirella Jimenez is an Addiction (Substance Use Disorder) Counselor in Gardena, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
5
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Practice location Address checks out

108 W Victoria St
Gardena, CA 90248-3523
Phone: (562) 735-7454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 470 E 3rd St, Los Angeles, CA 90013-1629 — (213) 620-5712

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence SUDRC12436 (CA)
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1235519000
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2015
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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