Individual
JACLYN JEAN SIMONEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 REMSEN ST, BROOKLYN, NY 11201-4333
(718) 208-7501
Mailing address
175 REMSEN ST, BROOKLYN, NY 11201-4333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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