Individual provider · Type 1 NPI

Jacklyn Simon, LPC, CSOTP, CCTP

Professional Counselor · Burkeville, VA

NPI number 1326677287 Active

Practice location

4901 E Patrick Henry Hwy
Burkeville, VA 23922-3454

Call (434) 767-7801 Map

Mailing address

1499 Lew Jones Rd
Alberta, VA 23821-2609

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701006044 (VA)

Professional Counselor: Definition to come...

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About NPI 1326677287

Jacklyn Simon, LPC, CSOTP, CCTP's National Provider Identifier is 1326677287, issued on Apr 3, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Burkeville, VA. The record was last updated on Apr 3, 2020.