Individual
MS. CAROLYN MARIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADTP CETIF# 7468
Contact information
Practice address
1550 JULIESSE AVE, SACRAMENTO, CA 95815-1803
(916) 737-5555
Mailing address
1550 JULIESSE AVE, SACRAMENTO, CA 95815-1803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7468
CA
Other
Enumeration date
12/20/2024
Last updated
01/23/2025
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