Individual
DIANE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-6781
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-6781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12355
TX
1041C0700X
Clinical Social Worker
Primary
Q1-0001260
DE
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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