Individual
LILLIAN R JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 CALLE DE ALEGRA STE C, LAS CRUCES, NM 88005-3280
(575) 222-4588
Mailing address
3100 OAK ST, LAS CRUCES, NM 88005-3769
(575) 523-2288
(575) 523-2299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-0192751
NM
101YM0800X
Mental Health Counselor
Primary
CCMH0217771
NM
Other
Enumeration date
12/28/2017
Last updated
03/19/2026
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