Individual provider · Type 1 NPI

Jack S. Siamu, MS LPC

Mental Health Counselor · Albuquerque, NM

NPI number 1336473149 Active

Practice location

6301 Central Ave NW
Albuquerque, NM 87105-2036

Call (505) 352-3441 Map

Fax (505) 352-3400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1770 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1336473149

Jack S. Siamu, MS LPC's National Provider Identifier is 1336473149, issued on Sep 25, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 25, 2009.