Individual provider · Type 1 NPI
Jack D. Simons, LPC
Professional Counselor · St. Louis, MO
NPI number
1114225612
Active
Practice location
225 S Meramec Ave Ste 211
St. Louis, MO 63105-3511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LAC-12181 (AZ) |
| Professional Counselor Primary | 101YP2500X | 2010006422 (MO) |
| Professional Counselor | 101YP2500X | 4430-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1114225612
Jack D. Simons, LPC's National Provider Identifier is 1114225612, issued on Mar 7, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Mar 7, 2011.