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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13362 (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.