Individual
BRIAN MARC SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2131 KIRKWOOD BLVD, SOUTHLAKE, TX 76092-1529
(214) 226-4206
(817) 402-2437
Mailing address
7 STRAIGHT CREEK CT, TROPHY CLUB, TX 76262-5440
(214) 226-4206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
69257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69257
COUNSELING LICENSE
TX
Enumeration date
09/17/2019
Last updated
09/17/2019
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