Individual provider · Type 1 NPI
Dominique Simon, PhD
Addiction (Substance Use Disorder) Counselor · Northampton, MA
NPI number
1740772284
Active
Practice location
57 Prospect St
Northampton, MA 01060-2130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 264709916 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1740772284
Dominique Simon, PhD's National Provider Identifier is 1740772284, issued on May 31, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Northampton, MA. The record was last updated on May 31, 2018.