Individual
COURTNEY SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 SANSOM ST, PHILADELPHIA, PA 19103-5234
(215) 563-7863
Mailing address
1738 S 53RD ST APT 2, PHILADELPHIA, PA 19143-5713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW140048
PA
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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