Individual
CANDICE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
Mailing address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13803
TX
101YP2500X
Professional Counselor
Primary
77672
TX
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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