Individual
KAYLA SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 687-1110
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-2210
—
175T00000X
Peer Specialist
23-CRM-2265
—
Other
Enumeration date
02/20/2024
Last updated
07/30/2025
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