Doctor Name: | DANTE JIMENEZ |
NPI Number: | 1720207111 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC-S, NCC |
License Number: | 20243 |
Business Practice Address: | 1210 Montana Ave Ste 103 El Paso, TX - 799025593 |
Business Phone Number: | 9153295712 |
Business Fax Number: | |
Mailing Address: | 2229 Tierra Robles Dr, EL PASO |
State: | TX |
Postal Code: | 799384406 |
Phone Number: | 9152743166 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 01/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 20243 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |