Individual provider · Type 1 NPI
Lisa Gaye Simon, LAC
Counselor · Fargo, ND
NPI number
1770610388
Active
Practice location
3431 4th Ave SW, Suite H
Fargo, ND 58103-2227
Fax (701) 297-7901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 1318 (ND) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1770610388
Lisa Gaye Simon, LAC's National Provider Identifier is 1770610388, issued on Feb 28, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fargo, ND. The record was last updated on Jul 8, 2007.