Provider Demographics
NPI:1659888113
Name:JIMENEZ, ESTHER MAX (MFC/T, LPC, EMDR)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:MAX
Last Name:JIMENEZ
Suffix:
Gender:F
Credentials:MFC/T, LPC, EMDR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12026 NOVA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-4008
Mailing Address - Country:US
Mailing Address - Phone:346-313-7491
Mailing Address - Fax:
Practice Address - Street 1:1832 SNAKE RIVER RD STE F
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7741
Practice Address - Country:US
Practice Address - Phone:346-313-7491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74330101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional