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NPI Code Detail

MEDICARE: MS. JEAN SUE SMITH M.ED., LPC

MEDICARE:  MS. JEAN SUE SMITH  M.ED., LPC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor6404TX
2101YM0800XMental Health Counselor10158TX
3106H00000XMarriage & Family Therapist004405-040806TX

General Provider Information

NPI Number : 1972611713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JEAN SUE SMITH M.ED., LPC
Provider Business Mailing Address
First Line : 18511 MEADOWS WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77084-3858
Country : US
Telephone Number : 281-578-9875
Fax Number :
Provider Business Practice Location Address
First Line : 1011 HIGHWAY 6 S
Second Line : STE. 314
City : HOUSTON
State : TX
Zip : 77077-1035
Country : US
Telephone Number : 281-498-4673
Fax Number : 281-498-4761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 09/11/2025

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