Jack D Simons, LPC Valid NPI
Individual provider · Professional Counselor · Saint Louis, MO
- NPI
- 1114225612
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 2010006422 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-03-07
- Last updated
- 2011-03-07
Practice location
225 S Meramec Ave Ste 211
Saint Louis, MO 63105-3511
(636) 236-8849