Individual
EUGENE SIMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
17 EMMA ST, BETHPAGE, NY 11714-4401
(516) 780-0444
Mailing address
110 COOPER ST UNIT 665, BABYLON, NY 11702-2376
(516) 384-5707
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
005976
NY
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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