Individual provider · Type 1 NPI
Jose Alfredo Jimenez Jr., M.ED.
Addiction (Substance Use Disorder) Counselor · Lewisville, TX
NPI number
1730549478
Active
Practice location
105 Kathryn Dr, Bldg 3, Ste D
Lewisville, TX 75067-4216
Mailing address
800 Lakeside Cir Apt 1333
Lewisville, TX 75057-5105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13362 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730549478
Jose Alfredo Jimenez Jr., M.ED.'s National Provider Identifier is 1730549478, issued on Feb 23, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lewisville, TX. The record was last updated on Feb 23, 2016.