Simon, Russell John

Simon, Russell John is an individual health care provider with primary practice located at 5665 Hoover Rd , Grove City OH 43123-9122. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Simon, Russell John can be contacted via phone (614) 539-6545.

Contact Information

Primary practice address
5665 Hoover Rd Grove City OH 43123-9122
Phone: (614) 539-6545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X C.1400157 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1800623-SUPV Ohio

Profile Details

NPI number 1710493366
LBN Legal business name Simon, Russell John
Credentials LPCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2017
Last updated Jun 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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