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Individual

ANIKA C SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 621-0910
(318) 621-0918
Mailing address
901 FAIRWAY DR, DUNCANVILLE, TX 75137-4613
(214) 875-1816
(469) 513-2719

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
81778
TX
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
81778
TX
101YP2500X
Professional Counselor
4619
LA
101YP2500X
Professional Counselor
81778
TX
171M00000X
Case Manager/Care Coordinator
Primary
81778
TX

Other

Enumeration date
05/22/2017
Last updated
05/15/2024
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