| Doctor Name: | MS. EVA SIMON |
| NPI Number: | 1861555922 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MACP |
| License Number: | 0680000358 |
| Business Practice Address: | 20 West Canal St Woolen Mill Offices Winooski, VT - 05404 |
| Business Phone Number: | 8028633399 |
| Business Fax Number: | |
| Mailing Address: | 20 West Canal St, Woolen Mill Offices WINOOSKI |
| State: | VT |
| Postal Code: | 05404 |
| Phone Number: | 8028633399 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0680000358 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |