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Individual

JENNIFER MARIE SIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC-18687
AZ
101YP2500X
Professional Counselor
Primary
LPC-18687
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC-18687
BBHAZ LICENSED PROFESSIONAL COUNSELOR
AZ
Enumeration date
12/07/2021
Last updated
12/07/2021
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