Individual
DERINESHIA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 PETERMAN DR STE A, ALEXANDRIA, LA 71301-3432
(318) 473-4328
(318) 473-4328
Mailing address
PO BOX 2074, JENA, LA 71342-2074
(318) 715-6303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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