Individual
JUSTIN O SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCC
Contact information
Practice address
35000 CHARDON RD, # 210, WILLOUGHBY HILLS, OH 44094-9012
(440) 951-5600
Mailing address
135 BURLINGTON OVAL DR, CHARDON, OH 44024-1453
(440) 636-3914
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E 0500992
OH
Other
Enumeration date
06/06/2008
Last updated
03/31/2010
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