Organization
SAMANTHA SIEGEL, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA BRYN SIEGEL M.S., M.ED. (LPC)
(972) 400-0487
Entity
Organization
Contact information
Practice address
5209 HERITAGE AVE, SUITE 210, COLLEYVILLE, TX 76034-5987
(817) 545-7100
(817) 545-4555
Mailing address
5209 HERITAGE AVE, SUITE 210, COLLEYVILLE, TX 76034-5987
(817) 545-7100
(817) 545-4555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
63713
TX
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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