Individual
AMBER SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2135 TREMONT AVE, ATCO, NJ 08004-1441
(215) 667-5216
Mailing address
96 TALLWOOD LN, WILLINGBORO, NJ 08046-4118
(215) 667-5216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S4436 03763 58802
NJ
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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