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General NPI Number Information
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NPI Number | 1811345804
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Entity Type | Organization
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Legal Business Name | CHRISTA U. SIMONS MA, LPC
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 81 CONKLING ST
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-1768
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Country | US
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Telephone | 908-274-1608
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Fax |
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Provider Business Mailing Address
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Address Line | 81 CONKLING ST
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-1768
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Country | US
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Telephone | 908-274-1608
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHRISTA U. SIMONS
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Credential | MA, LPC
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Telephone | 908-274-1608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00545900
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License Number State | NJ
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