Individual
JENNIFER MARIE SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9802 W PEORIA AVE, PEORIA, AZ 85345-6110
(623) 986-8459
Mailing address
11224 N 49TH DR, GLENDALE, AZ 85304-4002
(602) 793-2478
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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