Provider Demographics
NPI:1225576259
Name:LIMON, JORGE L (LMFT)
Entity Type:Individual
Prefix:MR
First Name:JORGE
Middle Name:L
Last Name:LIMON
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 9TH AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-7277
Mailing Address - Country:US
Mailing Address - Phone:909-644-6687
Mailing Address - Fax:619-780-7961
Practice Address - Street 1:406 9TH AVE STE 208
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-7277
Practice Address - Country:US
Practice Address - Phone:909-644-6687
Practice Address - Fax:619-780-7961
Is Sole Proprietor?:No
Enumeration Date:2017-02-10
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA142138106H00000X, 106H00000X
225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner