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1104380989

NPI Code Detail

MEDICARE: JEAN CLAUDE SIME

MEDICARE: JEAN CLAUDE SIME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1104380989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN CLAUDE SIME

Provider Business Mailing Address
First Line	:	4758 LAMBETH CT
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33973-6072
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3049 CLEVELAND AVE STE 290
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-7054
Country	:	US
Telephone Number	:	954-502-6752
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2019
Last Update Date	:	01/25/2019

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Directions to “ JEAN CLAUDE SIME ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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