Individual
JESSE M SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TCDAC
Contact information
Practice address
860 17TH ST SE, CEDAR RAPIDS, IA 52403-2610
(319) 893-9621
Mailing address
54 OKLAHOMA AVE SW, CEDAR RAPIDS, IA 52404-5327
(319) 893-9621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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