Individual
JOSE ALFREDO JIMENEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
105 KATHRYN DR, BLDG 3, STE D, LEWISVILLE, TX 75067-4216
(800) 972-0643
Mailing address
800 LAKESIDE CIR APT 1333, LEWISVILLE, TX 75057-5105
(214) 708-6268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13362
TX
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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