SAMANTHA E SIMON MA, LPCC
NPI 1174066997
Counselor - Professional in Woodbury, MN
Active since November 28, 2016
6063 HUDSON RD, SUITE 200, WOODBURY, MN 55125(952) 460-9053(651) 714-9029 Get Directions Write a Review
About Samantha E Simon Ma, Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA E SIMON MA, LPCC (NPI 1174066997) is an individual professional provider in Woodbury, Minnesota, licensed in Minnesota (CC01336) and active in the NPI registry since November 2016.
NPPES Registry Identity
NPI1174066997
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA E SIMONCredential: MA, LPCC
Location Address6063 HUDSON RD, SUITE 200Woodbury, MN 55125-4454
Mailing Address6063 Hudson Rd, Suite 200Woodbury, MN 55125-4454 · (952) 460-9053 · Fax (651) 714-9029
Phone(952) 460-9053
Fax(651) 714-9029
Sole ProprietorNo
Enumeration DateNovember 28, 2016
✔ NPI 1174066997 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC01336
6063 HUDSON RD, Woodbury, MN 55125
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174066997, enumerated as an "individual" on November 28, 2016.
The provider is located at 6063 HUDSON RD SUITE 200 WOODBURY, MN 55125 and the phone number is (952) 460-9053.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
