Martha Jimenez, BS, LCDC
Counselor, Addiction (Substance Use Disorder) in Laredo, TX. Individual provider (NPI-1).
NPI number1124635651
StatusActive
Last updated in NPPESSep 29, 2020
Details
- NPI
- 1124635651
- Entity type
- Individual (NPI-1)
- Name
- Martha Jimenez
- Credential
- BS, LCDC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2020
- Certification date
- Sep 29, 2020
- Last updated
- Sep 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 15002 | TX | Yes |
Practice location
1205 E Hillside RdLaredo, TX 78041-3318
Phone 956-728-0440
Mailing address
1205 E Hillside RdLaredo, TX 78041-3318
Phone 956-728-0440
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