Individual
ALISON MARTIN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
102 PINEWOOD DR, HUNTERSVILLE, NC 28078-9400
(361) 728-7760
Mailing address
102 PINEWOOD DR, HUNTERSVILLE, NC 28078-9400
(361) 728-7760
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62665
TX
101YP2500X
Professional Counselor
8647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198282901
—
TX
Enumeration date
12/05/2008
Last updated
08/01/2011
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