Individual
MR. JUSTIN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LAPC, NCC, CP
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 339-2395
(678) 990-3997
Mailing address
40 BROOKLINE PKWY, COVINGTON, GA 30014-4110
(404) 434-4130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC003012
GA
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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