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Individual

DR. AMELIA CARLENE SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, NCC, LGPC

Contact information

Practice address
9800 LOTTSFORD RD, MITCHELLVILLE, MD 20721-2894
(833) 767-4478
Mailing address
9612 UNDERWOOD ST, LANHAM, MD 20706-3480
(301) 356-3931

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP10461
MD
101YS0200X
School Counselor
LGP10461
MD

Other

Enumeration date
08/29/2020
Last updated
08/29/2020
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