Roberta Jo Simons
Counselor, Professional in Bridgeport, WV. Individual provider (NPI-1).
NPI number1275245367
StatusActive
Last updated in NPPESDec 20, 2022
Details
- NPI
- 1275245367
- Entity type
- Individual (NPI-1)
- Name
- Roberta Jo Simons
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2022
- Certification date
- Dec 20, 2022
- Last updated
- Dec 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2693 | WV | Yes |
Practice location
65 Professional Pl Ste 102103Bridgeport, WV 26330-0258
Phone 304-848-5770
Mailing address
65 Professional Pl Ste 102103Bridgeport, WV 26330-0258
Phone 304-848-5770
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