Most Relevant Information
Provider Data
| NPI Number: | 1003026543 |
| Provider Name: | BRENDA K. LEE SIMON AMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 13613 |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 09/27/2023 |
Provider Practice Location
1841 E MAIN ST
BARSTOW
CA
923113234
Practice Location Phone/Fax
| Phone: | 7602555700 |
| Fax: |
Provider Mailing Location
1841 E MAIN ST
BARSTOW
CA
923113234
Provider Mailing Phone/Fax
| Phone: | 7602555700 |
| Fax: | 7602565092 |