Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa Naomima Simbolon, LPC

Individual provider Mental Health Counselor · NPI 1790610681

Theresa Naomima Simbolon, LPC is a Mental Health Counselor in Wallingford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2026.

Licensed in
CT
In the registry since
2026
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

300 Church St
Wallingford, CT 06492
Phone: (203) 314-0940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 9825 (CT)

Record details

NPI number1790610681
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 14, 2026

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