Individual
KRISTIE F SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
412 W KINNE ST, ELLSWORTH, WI 54011-9230
(715) 273-6770
(715) 273-6862
Mailing address
412 W KINNE ST, PO BOX 670, ELLSWORTH, WI 54011-9230
(715) 273-6770
(715) 273-6862
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15280-132
WI
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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