Individual
VICTORIA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMSW
Contact information
Practice address
105 S SAINT CLAIR ST, PORT SANILAC, MI 48469-9657
(810) 434-9179
Mailing address
105 S SAINT CLAIR ST, PORT SANILAC, MI 48469-9657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801096752
MI
Other
Enumeration date
09/29/2015
Last updated
06/10/2024
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