Individual
CONSTANCE LORRAINE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WESTLAKE RD STE 102, FAYETTEVILLE, NC 28314-4871
(910) 286-9730
Mailing address
2353 CULBRETH RD, FAYETTEVILLE, NC 28312-7579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16900
NC
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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