MEDICARE: SADIA JALALI M.A., LMFT-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	201169	TX

General Provider Information

NPI Number	:	1588896229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADIA JALALI M.A., LMFT-S

Provider Business Mailing Address
First Line	:	11645 S HIGHWAY 6 UNIT 828
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-1302
Country	:	US
Telephone Number	:	832-588-1015
Fax Number	:

Provider Business Practice Location Address
First Line	:	11645 S HIGHWAY 6 UNIT 828
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-1302
Country	:	US
Telephone Number	:	832-588-1015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	04/22/2025

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