Individual
KAONTA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2185 WELLINGTON LN, SLIDELL, LA 70461
(504) 453-3310
Mailing address
2540 SEVERN AVE, SUITE 100, METAIRIE, LA 70002-5954
(504) 454-3740
(504) 454-3738
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
07/02/2018
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