Individual
ROBERTA JO SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 PROFESSIONAL PL STE 102103, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Mailing address
65 PROFESSIONAL PL STE 102103, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2693
WV
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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