Individual
MISS JESSICA SIMONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCA
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5900
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 750-1132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
R12048
OR
Other
Enumeration date
08/19/2021
Last updated
03/06/2026
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