Individual
JAMES SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPC, LAC
Contact information
Practice address
2500 S POWER RD STE 120, MESA, AZ 85209-6688
(480) 256-9271
Mailing address
2500 S POWER RD, MESA, AZ 85209-6686
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-17125
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90-0902619
SELF PAY
—
Enumeration date
12/16/2018
Last updated
12/16/2018
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