Provider Demographics
NPI:1508988866
Name:JIMENEZ, JENNIFER D'ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:D'ANN
Last Name:JIMENEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8083 STONEBROOK PKWY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7203
Mailing Address - Country:US
Mailing Address - Phone:214-886-6040
Mailing Address - Fax:
Practice Address - Street 1:800 W AIRPORT FWY
Practice Address - Street 2:SUITE 430
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6312
Practice Address - Country:US
Practice Address - Phone:214-886-6040
Practice Address - Fax:972-554-7102
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health