Individual
JONATHAN ANDRE SIMMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHSA, CBHCM
Contact information
Practice address
6100 LAKE ELLENOR DR STE 212, ORLANDO, FL 32809-4632
(407) 325-2235
Mailing address
3704 W JEFFERSON ST, ORLANDO, FL 32805-1920
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
08/24/2020
Last updated
08/25/2020
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