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Individual
DANTE JIMENEZ
Active
Individual
DANTE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
20243
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
20243
TX
101YM0800X
Mental Health Counselor
20243
TX
101YP2500X
Professional Counselor
Primary
20243
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1797169-01
MEDICAID--TPI (PERSONAL)
TX
Enumeration date
04/24/2007
Last updated
06/05/2019
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