Individual
JENNIFER L SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
14574 US HIGHWAY 23, WAVERLY, OH 45690-9373
(740) 542-2480
Mailing address
132 N POPLAR ST, CHILLICOTHE, OH 45601-2728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.120706
OH
101YM0800X
Mental Health Counselor
Primary
S1600058
OH
Other
Enumeration date
02/01/2013
Last updated
09/04/2019
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