Individual
MICHELLE SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 SILSBEE ST, LYNN, MA 01901-1414
(781) 581-9270
Mailing address
66 SILSBEE ST, LYNN, MA 01901-1414
(781) 581-9270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2295
MA
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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