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NPI Code Detail

MEDICARE: SIMONE D SPRINGFIELD CADC

MEDICARE:   SIMONE D SPRINGFIELD  CADC
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
1101YM0800XMental Health Counselor13977MO

General Provider Information

NPI Number : 1265130256
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMONE D SPRINGFIELD CADC
Provider Business Mailing Address
First Line : 9733 SAINT CHARLES ROCK RD
Second Line :
City : BRECKENRIDGE HILLS
State : MO
Zip : 63114-2625
Country : US
Telephone Number : 314-423-7030
Fax Number :
Provider Business Practice Location Address
First Line : 9733 SAINT CHARLES ROCK RD
Second Line :
City : BRECKENRIDGE HILLS
State : MO
Zip : 63114-2625
Country : US
Telephone Number : 314-423-7030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2023
Last Update Date : 02/20/2023

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Directions to “ SIMONE D SPRINGFIELD CADC” Practice Location

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