Individual
MS. IVORY SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 WINDSONG CT, WINSTON SALEM, NC 27127-4788
(336) 830-2241
Mailing address
1613 WINDSONG CT, WINSTON SALEM, NC 27127-4788
(336) 830-2241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17775
NC
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/18/2022
Last updated
03/28/2024
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