Individual
ELLEN KAYE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
510 24TH AVE SW, NORMAN, OK 73069-5106
(405) 265-2655
Mailing address
621 CAVECREEK ST, NORMAN, OK 73071-7192
(405) 630-9789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
96
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200425480A
—
OK
Enumeration date
11/13/2007
Last updated
02/18/2021
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