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Individual

MR. DAVID BRIAN SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA, LAC

Contact information

Practice address
4031 E HARRY ST STE 43, WICHITA, KS 67218-3724
(316) 771-7413
Mailing address
2035 N BEAUMONT ST, WICHITA, KS 67208-1727
(316) 409-5242

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
558
KS

Other

Enumeration date
04/30/2012
Last updated
04/30/2012
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