Individual
MR. PHILLIP SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
20490 HARPER AVE STE 113, HARPER WOODS, MI 48225-1645
(313) 231-6049
(313) 640-8391
Mailing address
20490 HARPER AVE STE 113, HARPER WOODS, MI 48225-1645
(313) 231-6049
(313) 640-8391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00782
MI
101YP2500X
Professional Counselor
Primary
6401009795
MI
Other
Enumeration date
11/05/2007
Last updated
04/24/2008
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