Individual
JENNIFER ANN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
107 LANCASTER ST, MARIETTA, OH 45750-2734
(740) 249-8061
(740) 371-5499
Mailing address
PO BOX 462, BELPRE, OH 45714-0462
(740) 249-8061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161627
OH
101YP2500X
Professional Counselor
Primary
E.2102171
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268669
—
OH
Enumeration date
11/30/2016
Last updated
12/15/2021
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