Individual
KIMBERLEY KERCHELLE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N WAYNE ST, MILLEDGEVILLE, GA 31061-2834
(478) 254-0481
(478) 254-9723
Mailing address
910 DUNLAP RD NE, MILLEDGEVILLE, GA 31061-2006
(478) 456-2789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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