Individual
BRACY JAMAAL SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 E HORIZON DR STE H, HENDERSON, NV 89015-8001
(702) 558-4686
Mailing address
220 E HORIZON DR STE H, HENDERSON, NV 89015-8001
(702) 558-4686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
08/28/2019
Last updated
07/14/2021
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