Individual
MRS. ANGELA DENISE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP-A
Contact information
Practice address
1805 AIRLINE BLVD, PORTSMOUTH, VA 23707-3912
(757) 337-3478
(757) 399-3316
Mailing address
PO BOX 46, ZUNI, VA 23898-0046
(757) 725-1444
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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