Individual
MR. ALBERT A. JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC, CART
Contact information
Practice address
5203 OLD PEARSALL RD, SAN ANTONIO, TX 78242
(210) 277-7799
Mailing address
P.O. BOX 828, CASTROVILLE, TX 78009
(210) 619-6020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9995
TX
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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