Individual
RICKY C SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLADC
Contact information
Practice address
249 CHERRY HILL BLVD, SUITE 3, LINCOLN, NE 68510-2602
(402) 261-3710
(402) 261-3710
Mailing address
249 CHERRY HILL BLVD, SUITE 3, LINCOLN, NE 68510-2602
(402) 261-3710
(402) 261-3710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-942
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345680000
MAGELLAN
NE
05
—
47075636930
—
NE
01
—
99037
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/12/2011
Last updated
10/19/2012
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