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1730549478
JOSE ALFREDO JIMENEZ
LEWISVILLE, TX
NPI
1730549478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13362)
Enumeration Date
2016-02-23
Last Update Date
2016-02-23
Business Address
-- JOSE ALFREDO JIMENEZ M.Ed.
105 KATHRYN DR BLDG 3, STE D
LEWISVILLE, TX 75067-4216
Phone number: 800-972-0643
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Mailing Address
-- JOSE ALFREDO JIMENEZ M.Ed.
800 LAKESIDE CIR APT 1333
LEWISVILLE, TX 75057-5105
Phone number: 214-708-6268
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