JACK D SIMONS

SAINT LOUIS, MO
NPI1114225612
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2010006422)
Additional Taxonomies101Y00000X Counselor
(Licence: AZ  LAC-12181)
101YP2500X Counselor, Professional
(Licence: WI  4430-125)
Enumeration Date2011-03-07
Last Update Date2011-03-07
Business Address
-- JACK D SIMONS LPC
225 S MERAMEC AVE STE 211
SAINT LOUIS, MO 63105-3511
Phone number: 636-236-8849
Mailing Address
-- JACK D SIMONS LPC
225 S MERAMEC AVE STE 211
SAINT LOUIS, MO 63105-3511
Phone number: 636-236-8849