Individual
KAMBRIE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
Mailing address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-739
WY
171M00000X
Case Manager/Care Coordinator
PPC-739
WY
Other
Enumeration date
06/18/2013
Last updated
10/03/2013
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