Jimenez, Alison Martin
Jimenez, Alison Martin is an sole proprietor health care provider with primary practice located at 102 Pinewood Dr , Huntersville NC 28078-9400. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jimenez, Alison Martin can be contacted via phone (361) 728-7760.Contact Information
Primary practice address
102 Pinewood Dr
Huntersville NC 28078-9400
Phone: (361) 728-7760
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 62665 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 8647 | North Carolina |
Profile Details
| NPI number | 1497990337 |
|---|---|
| LBN Legal business name | Jimenez, Alison Martin |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2008 |
| Last updated | Aug 1st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497990337 | NPPES |
| Texas | MEDICAID | 198282901 |
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