Individual
DETRIA COLES-SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
66 HUDSON AVE, NORTH PLAINFIELD, NJ 07060-3702
(908) 809-5579
Mailing address
66 HUDSON AVE, NORTH PLAINFIELD, NJ 07060-3702
(908) 809-5579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00655900
NH
Other
Enumeration date
03/06/2019
Last updated
03/08/2022
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