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Individual

ANNETTE SUSAN SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AMFT

Contact information

Practice address
780 S DORA ST, UKIAH, CA 95482-5348
(707) 467-9065
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 467-2010
(707) 462-6994

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
117899
CA
106H00000X
Marriage & Family Therapist
Primary
162645
CA
106H00000X
Marriage & Family Therapist
Primary
AMFT117899
CA
225400000X
Rehabilitation Practitioner
CA

Other

Enumeration date
09/25/2014
Last updated
05/07/2026
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