NPI Search for Physicians and Health Care Providers
JACKLYN SIMON LPC, CSOTP, CCTP
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant 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:
Primary | Code | Category/Description | State | License Number |
---|
Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | VA | 0701006044 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS VA - Page 1