Individual
MRS. JIMMIE LYNN EKOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10324 BALLYMOTE DR, EL PASO, TX 79925-4344
(915) 861-6287
Mailing address
10324 BALLYMOTE DR, EL PASO, TX 79925-4344
(915) 595-4320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
52473
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
12058
TX
104100000X
Social Worker
Primary
52473
TX
Other
Enumeration date
05/18/2009
Last updated
06/17/2014
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