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Individual

MR. DEVEON IVORY SIMMS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
813 TROY ST, DAYTON, OH 45404-1852
(937) 982-1500
Mailing address
1315 S BROADWAY ST, DAYTON, OH 45417-4613
(937) 838-8645

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
187207
OH
101YM0800X
Mental Health Counselor
OH
175T00000X
Peer Specialist
APS.004389
OH

Other

Enumeration date
10/11/2023
Last updated
11/17/2025
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