Jimenez, Dante

Jimenez, Dante is an sole proprietor health care provider with primary practice located at 6090 Surety Dr Ste 200 , El Paso TX 79905-2041. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Jimenez, Dante can be contacted via phone (915) 781-1337.

Contact Information

Primary practice address
6090 Surety Dr Ste 200 El Paso TX 79905-2041
Phone: (915) 781-1337
Fax: (915) 881-4959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 20243 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20243 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 20243 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 20243 Texas

Profile Details

NPI number 1720207111
LBN Legal business name Jimenez, Dante
Credentials LPC-S, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jun 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720207111 NPPES
Texas Other 1797169-01 MEDICAID--TPI (PERSONAL)

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