Individual
MRS. ROWENA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 BLOOM ST, BALTIMORE, MD 21217-4598
(443) 438-3616
Mailing address
339 BLOOM ST, BALTIMORE, MD 21217-4598
(443) 438-3616
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
MD
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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