Individual
JULIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC,LCAS,CCS
Contact information
Practice address
108 N KERR AVE STE C2, WILMINGTON, NC 28405-3439
(910) 540-6749
(910) 769-1772
Mailing address
3953B MARKET ST, WILMINGTON, NC 28403-1403
(910) 540-6749
(910) 769-1772
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13093
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
21056
NC
101YM0800X
Mental Health Counselor
13093
NC
101YP2500X
Professional Counselor
Primary
13093
NC
Other
Enumeration date
01/19/2017
Last updated
08/07/2023
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