Provider Demographics
NPI:1679335608
Name:SIMONS, IRENE GRACE (LCMHC, LPC, MA)
Entity Type:Individual
Prefix:MISS
First Name:IRENE
Middle Name:GRACE
Last Name:SIMONS
Suffix:
Gender:F
Credentials:LCMHC, LPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 FISH POND RD
Mailing Address - Street 2:
Mailing Address - City:COLEBROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03576-6629
Mailing Address - Country:US
Mailing Address - Phone:802-287-1123
Mailing Address - Fax:
Practice Address - Street 1:832 FISH POND RD
Practice Address - Street 2:
Practice Address - City:COLEBROOK
Practice Address - State:NH
Practice Address - Zip Code:03576-6629
Practice Address - Country:US
Practice Address - Phone:802-287-1123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health