Individual
MRS. SAMANTHA ANN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LCADC
Contact information
Practice address
80 ROLLING HILLS BLVD, MONTICELLO, KY 42633-9005
(066) 343-0216
(606) 343-0224
Mailing address
80 ROLLING HILLS BLVD, MONTICELLO, KY 42633-9005
(606) 343-0216
(066) 343-0224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
166494
KY
101YM0800X
Mental Health Counselor
Primary
834
KY
101YP2500X
Professional Counselor
105683
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
05
—
7100277600
—
KY
Enumeration date
01/23/2007
Last updated
10/18/2019
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