Most Relevant Information
Provider Data
| NPI Number: | 1003014812 |
| Provider Name: | JIMMIE SUE SIPTAK MS, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 6096 |
Most Important Dates
| Enumeration Date: | 07/03/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
107 E SEALY ST
ALVIN
TX
775112440
Practice Location Phone/Fax
| Phone: | 2815850000 |
| Fax: | 2815850080 |
Provider Mailing Location
107 E SEALY ST
ALVIN
TX
775112440
Provider Mailing Phone/Fax
| Phone: | 2815850000 |
| Fax: | 2815850080 |