Provider Demographics
NPI:1306130331
Name:SEYMOUR, RUTH M (LPC, LCDC, CEAP, SAP)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:M
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:LPC, LCDC, CEAP, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14411 SANTEE PASS DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4153
Mailing Address - Country:US
Mailing Address - Phone:281-584-0757
Mailing Address - Fax:
Practice Address - Street 1:14411 SANTEE PASS DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4153
Practice Address - Country:US
Practice Address - Phone:281-584-0757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2673101YA0400X
TX19884101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)