Doctor Name: | ALESIA A SIMCO |
NPI Number: | 1134335649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC CRC |
License Number: | 003649 |
Business Practice Address: | 2 Pasture Rd Kings Park, NY - 117545040 |
Business Phone Number: | 6312694819 |
Business Fax Number: | 6312694819 |
Mailing Address: | 2 Pasture Rd, KINGS PARK |
State: | NY |
Postal Code: | 117545040 |
Phone Number: | 6312694819 |
Fax Number: | 6312694819 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 003649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |