Doctor Name: | MR. KEVIN B. SIMONS |
NPI Number: | 1790906519 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 341807-6004 |
Business Practice Address: | 1238 West 360 North #6 St. George, UT - 84770 |
Business Phone Number: | 4353134437 |
Business Fax Number: | |
Mailing Address: | 1238 West 360 North #6, ST. GEORGE |
State: | UT |
Postal Code: | 84770 |
Phone Number: | 4353134437 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 06/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 341807-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |