Jacklyn Simon, LPC, CSOTP, CCTP
NPI #1326677287 in Burkeville, Virginia
Provider Information
- NPI Number
- 1326677287
- Entity Type
- Individual
- Name
- Jacklyn Simon, LPC, CSOTP, CCTP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, CSOTP, CCTP
- Enumeration Date
- Apr 3, 2020
- Last Updated
- Apr 3, 2020
Practice Location
- Address
- 4901 E PATRICK HENRY HWY
- City
- Burkeville
- State
- Virginia
- ZIP Code
- 23922-3454
- Phone
- (434) 767-7801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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