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Individual

JESSICA MARIE SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
791 ENDERS RD, HALIFAX, PA 17032-9721
(814) 470-3718
Mailing address
16 MATAMORAS RD, HALIFAX, PA 17032-9501
(814) 470-3718

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
CW024770
PA
1041C0700X
Clinical Social Worker

Other

Enumeration date
08/15/2016
Last updated
01/16/2025
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