Individual
MISS ANJULI IVETTE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 E MONROE AVE, BARRON, WI 54812-1479
(715) 537-6174
(715) 537-6848
Mailing address
1613 11 1/2 ST, BARRON, WI 54812-9022
(715) 553-0328
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3692125
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15442-132
WI
Other
Enumeration date
12/05/2006
Last updated
02/27/2020
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