| Doctor Name: | JEFFREY JAMES SITEK |
| NPI Number: | 1245484799 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA ED., LCPC |
| License Number: | LCPC - 3589 |
| Business Practice Address: | 1125 E. Polston Ave Suite A Post Falls, ID - 83854 |
| Business Phone Number: | 2084571540 |
| Business Fax Number: | 2084571202 |
| Mailing Address: | 1125 E. Polston Avenue, Suite A POST FALLS |
| State: | ID |
| Postal Code: | 83854 |
| Phone Number: | 2084571540 |
| Fax Number: | 2084571202 |
| NPI Enumeration Date: | 11/11/2008 |
| NPI Last Update Date: | 11/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCPC - 3589 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |