Individual
DR. LAYTRAYAL ANTIONETTE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PH.D.
Contact information
Practice address
2407 BENNING RD NE FL 2, WASHINGTON, DC 20002-4800
(202) 595-9003
(202) 595-9009
Mailing address
2407 BENNING RD NE, WASHINGTON, DC 20002-4800
(202) 595-9003
(202) 595-9009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PRC14145
DC
103T00000X
Psychologist
PSY1001159
DC
103TC1900X
Counseling Psychologist
Primary
PSY1001159
DC
Other
Enumeration date
12/30/2012
Last updated
12/28/2020
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