Individual
SAMANTHA E SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
6063 HUDSON RD, SUITE 200, WOODBURY, MN 55125-4454
(952) 460-9053
(651) 714-9029
Mailing address
6063 HUDSON RD, SUITE 200, WOODBURY, MN 55125-4454
(952) 460-9053
(651) 714-9029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01336
MN
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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