Individual
ADENISE HENRY-SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1261 COMMERCIAL DR SW, SUITE E, CONYERS, GA 30094-5929
(770) 918-8000
(770) 918-8800
Mailing address
1261 COMMERCIAL DR SW, SUITE E, CONYERS, GA 30094-5929
(770) 918-8000
(770) 918-8800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CJW003305
GA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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