Individual provider · Type 1 NPI

Jaclyn K. Simons, CASAC-T

Addiction (Substance Use Disorder) Counselor · Middletown, NY

NPI number 1316210362 Active

Practice location

21 Center St
Middletown, NY 10940-5704

Call (845) 343-7675 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26640 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1316210362

Jaclyn K. Simons, CASAC-T's National Provider Identifier is 1316210362, issued on Feb 21, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Middletown, NY. The record was last updated on Feb 21, 2012.