Individual provider · Type 1 NPI

Bodequia Simon, LMSW

Mental Health Counselor · Lexington, SC

NPI number 1003371956 Active

Practice location

108 Palmetto Park Blvd Ste D
Lexington, SC 29072-7969

Mailing address

500 Harbison Blvd Apt 1315
Columbia, SC 29212-1726

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003371956

Bodequia Simon, LMSW's National Provider Identifier is 1003371956, issued on Feb 5, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, SC. The record was last updated on Feb 5, 2019.