Individual provider · Type 1 NPI
Stacey Simon, LPCC-S
Mental Health Counselor · Maumee, OH
NPI number
1336538545
Active
Practice location
204 W Wayne St Ste 210-7
Maumee, OH 43537-2125
Mailing address
414 Chesterfield Ln
Maumee, OH 43537-2212
Other practice locations
- 830 W South Boundary St, Perrysburg, OH 43551-5238 · (419) 931-3020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | E.1700029 (OH) |
| Mental Health Counselor Primary | 101YM0800X | E.1700029-SUPV (OH) |
Mental Health Counselor: Definition to come...
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About NPI 1336538545
Stacey Simon, LPCC-S's National Provider Identifier is 1336538545, issued on Jan 12, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maumee, OH. The record was last updated on Sep 9, 2021.