Individual
CICELY SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1600 UNIVERSITY AVE W STE 12, SAINT PAUL, MN 55104-3952
(651) 379-5157
Mailing address
1600 UNIVERSITY AVE W STE 12, SAINT PAUL, MN 55104-3952
(651) 379-5157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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