Individual provider · Type 1 NPI

Stacey Simon, MA, LCDP, ICADC, MHS

Addiction (Substance Use Disorder) Counselor · Georgetown, DE

NPI number 1699211490 Active

Practice location

505 W Market St, Suite 110
Georgetown, DE 19947-2344

Mailing address

30716 Cypress Ln
Laurel, DE 19956-3514

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCD-0000082 (DE)

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

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About NPI 1699211490

Stacey Simon, MA, LCDP, ICADC, MHS's National Provider Identifier is 1699211490, issued on Jan 17, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Georgetown, DE. The record was last updated on Jan 17, 2017.