Individual provider · Type 1 NPI
Jacob Spencer Simon
Mental Health Counselor · Youngsville, LA
NPI number
1194450015
Active
Practice location
100 Sabal Palms Row Ste 100
Youngsville, LA 70592-6754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PLC10501 (LA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1194450015
Jacob Spencer Simon's National Provider Identifier is 1194450015, issued on Jul 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Youngsville, LA. The record was last updated on Nov 25, 2025.