Individual provider · Type 1 NPI

Jeremy Scott Simon, MS, LCDC, LPC-I

Addiction (Substance Use Disorder) Counselor · Bandera, TX

NPI number 1972189447 Active

Practice location

756 Purple Sage Rd
Bandera, TX 78003

Mailing address

PO Box 1503
Fredericksburg, TX 78624-1503

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X80898 (TX)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14709 (TX)

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

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About NPI 1972189447

Jeremy Scott Simon, MS, LCDC, LPC-I's National Provider Identifier is 1972189447, issued on Mar 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bandera, TX. The record was last updated on Mar 23, 2021.