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Individual

MRS. ASHLEY ANN SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS LPC-S, LADC-C

Contact information

Practice address
512 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-3672
Mailing address
1300 HOPPE BLVD STE 6, ADA, OK 74820-2319
(580) 310-4719

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7061
OK
101YM0800X
Mental Health Counselor
OK
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100746580E
OK
Enumeration date
01/06/2010
Last updated
08/21/2024
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