JACKLYN SIMON LPC CSOTP CCTP NPI 1326677287

NPI Information

NPI: 1326677287
Provider Name: JACKLYN SIMON, LPC, CSOTP, CCTP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4901 E PATRICK HENRY HWY
BURKEVILLE, VA
ZIP 23922
Phone: (434) 767-7801
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Jacklyn Simon, LPC, CSOTP, CCTP is a professional counselor in Burkeville, VA. Jacklyn Simon, LPC, CSOTP, CCTP NPI is 1326677287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4901 E PATRICK HENRY HWY
BURKEVILLE, VA
ZIP 23922-454
Phone: (434) 767-7801

The enumeration date for this NPI number is 4/3/2020 and was last updated on 4/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	0701006044	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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