Individual
JENNIFER DIANNE SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
179 BROAD ST, CONNEAUT, OH 44030
(440) 606-6334
Mailing address
292 N AMBOY RD, CONNEAUT, OH 44030-3097
(440) 606-6334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1100399
OH
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200131
—
OH
Enumeration date
10/31/2016
Last updated
09/04/2018
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