Individual
BRIAN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1916 UNIVERSITY AVE, OXFORD, MS 38655-4114
(662) 281-9992
(662) 281-1326
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5991
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5991
LCSW
MS
Enumeration date
01/08/2018
Last updated
02/12/2019
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