Provider Demographics
NPI:1447301221
Name:SIMON-KRANZ, CAROL ANN (LMHC)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ANN
Last Name:SIMON-KRANZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1548
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-1548
Mailing Address - Country:US
Mailing Address - Phone:360-697-5056
Mailing Address - Fax:360-698-6695
Practice Address - Street 1:20730 BOND RD NE
Practice Address - Street 2:SUITE 200
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-9000
Practice Address - Country:US
Practice Address - Phone:360-697-5056
Practice Address - Fax:360-698-6695
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WALH00007541101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional