Individual
JASON JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-A, LCDC
Contact information
Practice address
2911 S NEW BRAUNFELS AVE, SAN ANTONIO, TX 78210-5220
(210) 377-1133
Mailing address
2911 S NEW BRAUNFELS AVE, SAN ANTONIO, TX 78210-5220
(210) 377-1133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15604
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
41217
TX
101YM0800X
Mental Health Counselor
Primary
96883
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
OTHER
—
Enumeration date
12/22/2020
Last updated
04/16/2026
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