Individual
MRS. JENNIFER D SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19871 SACKETT LN, WAYNESVILLE, MO 65583-0122
(573) 528-3168
(573) 774-3711
Mailing address
PO BOX 122, WAYNESVILLE, MO 65583-0122
(573) 528-3168
(573) 774-3711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
500676
MO
101YM0800X
Mental Health Counselor
Primary
2009009104
MO
Other
Enumeration date
07/13/2009
Last updated
12/22/2010
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