Provider Demographics
NPI:1538976600
Name:CAMPOS, SINIA (LPC-A)
Entity type:Individual
Prefix:
First Name:SINIA
Middle Name:
Last Name:CAMPOS
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 FOUNTAIN LAKE DR APT 1021
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3752
Mailing Address - Country:US
Mailing Address - Phone:713-458-0959
Mailing Address - Fax:
Practice Address - Street 1:10500 FOUNTAIN LAKE DR APT 1021
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3752
Practice Address - Country:US
Practice Address - Phone:713-458-0959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94650101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional