Individual
JACOB SPENCER SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 SABAL PALMS ROW STE 100, YOUNGSVILLE, LA 70592-6754
(337) 573-0636
Mailing address
100 SABAL PALMS ROW STE 100, YOUNGSVILLE, LA 70592-6754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC10501
LA
Other
Enumeration date
07/24/2022
Last updated
11/25/2025
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