Individual
CAROLYN JEAN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401012669
MI
101YP1600X
Pastoral Counselor
6401012669
MI
101YP2500X
Professional Counselor
Primary
64011012669
MI
Other
Enumeration date
02/02/2012
Last updated
03/17/2018
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