Simons, Jaclyn K

Simons, Jaclyn K is an individual health care provider with primary practice located at 21 Center St , Middletown NY 10940-5704. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Simons, Jaclyn K can be contacted via phone (845) 343-7675.

Contact Information

Primary practice address
21 Center St Middletown NY 10940-5704
Phone: (845) 343-7675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 26640 New York

Profile Details

NPI number 1316210362
LBN Legal business name Simons, Jaclyn K
Credentials CASAC-T
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2012
Last updated Feb 21st, 2012 - about 13 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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