Individual
CHARLES LEE SIMMONS JR.
Active
Individual
CHARLES LEE SIMMONS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, CACII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0007896
CO
101YP2500X
Professional Counselor
Primary
LPC.0015242
CO
Other
Enumeration date
06/27/2014
Last updated
10/29/2019
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