Individual
MS. CONNIE R. SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC , MHSP
Contact information
Practice address
508 PRINCETON RD, SUITE 403, JOHNSON CITY, TN 37601-2060
(423) 302-3480
(423) 722-3009
Mailing address
508 PRINCETON RD, SUITE 403, JOHNSON CITY, TN 37601-2060
(423) 302-3480
(423) 722-3009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2256
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601114265
MAGELLAN
TN
05
—
Q024993
—
TN
Enumeration date
02/21/2008
Last updated
02/23/2017
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