Provider / Organization | NPI | Date Certified |
---|---|---|
JENNIFER SIMON | 1689938839 | 2024-09-08 |
Jennifer Simon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689938839. Registration indicates Jennifer Simon is a provider of services with a specialization in Specialist (Other Service Providers, Specialist) (All Other Specialties & Provider Types, ) (Specialist, Other Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Jennifer Simon |
Practice Office Address | 180 S BROADWAY STE 406 WHITE PLAINS, NY US |
Practice Office Telephone | 3475434726 |
Mailing Address | 180 S BROADWAY STE 406 WHITE PLAINS, NY 106051820 US |
Address | City / State | Phone / Fax |
---|---|---|
30 Ehrbar Ave Apt. 507 | Mount Vernon, NY 105523663 | 3478495548 |
Code | Practice | License No State |
---|---|---|
174400000X | Specialist Other Service Providers Specialist All Other Specialties & Provider Types Specialist Other Service Providers | |
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | P114596
NY |