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JACKLYN SIMON LPC, CSOTP, CCTP

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1326677287

Individual Registrant:
 JACKLYN  SIMON LPC, CSOTP, CCTP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4901 E PATRICK HENRY HWY  BURKEVILLE, VA 23922-3454 US
Tel: 434-767-7801  Fax: --

Contact information for business:
1499 LEW JONES RD  ALBERTA, VA 23821-2609 US
Tel: --  Fax: --

Registration Information:
NPI: 1326677287
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
VA0701006044

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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