Individual
JOHNATHAN A SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 423-1016
(860) 423-1109
Mailing address
113 WARNER AVE, WORCESTER, MA 01604-3151
(860) 336-8761
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001750
CT
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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