Individual
KENYA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 751-6475
Mailing address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 751-6475
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
286539
KY
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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