Individual
ELIZABETH SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA, PRS
Contact information
Practice address
2065 STONERIDGE DR, CIRCLEVILLE, OH 43113-8956
(740) 500-1391
Mailing address
2065 STONERIDGE DR, CIRCLEVILLE, OH 43113-8956
(740) 500-1391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187147
OH
175T00000X
Peer Specialist
APS.002721
OH
Other
Enumeration date
07/05/2022
Last updated
01/23/2024
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