Simon J Stillwaggon
Simon J Stillwaggon is a Mental Health Counselor in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.
- Licensed in
- PA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
3821 Baring StPhiladelphia, PA 19104-5580
Phone: (609) 489-2074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MSG015461 (PA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1710382486 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 23, 2014 |
| Last updated in NPPES | April 29, 2026 |
| Certification date | April 29, 2026 |
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