Provider Demographics
NPI:1619725231
Name:JIMENEZ, STEVE ALLEN II (SUDPT)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:ALLEN
Last Name:JIMENEZ
Suffix:II
Gender:M
Credentials:SUDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98930-1160
Mailing Address - Country:US
Mailing Address - Phone:509-402-9090
Mailing Address - Fax:866-974-8679
Practice Address - Street 1:211 EUCLID ST
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:WA
Practice Address - Zip Code:98930-1160
Practice Address - Country:US
Practice Address - Phone:509-402-9090
Practice Address - Fax:866-974-8679
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO61314552101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)