Provider Information for 1508123647
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CARRIE SIMPSON LMHC
Sex: Female
NPI: 1508123647
Last Updated: 2016-10-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1508123647 | ||||||||
| Enumeration Date | 2012-04-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 41 37TH AVE S JACKSONVILLE BEACH, FL 32250-5940 United States Phone: 904-993-1602 | Fax: | ||||||||
| Primary Practice Address | 41 37TH AVE S JACKSONVILLE BEACH, FL 32250-5940 United States Phone: 904-993-1602 | Fax: | ||||||||
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