Individual
DR. DEBORAH SUSAN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D, LMFT
Contact information
Practice address
414 PENN AVE S, MINNEAPOLIS, MN 55405-2059
(612) 324-1207
(612) 500-4459
Mailing address
414 PENN AVE S, MINNEAPOLIS, MN 55405-2059
(612) 324-1207
(612) 500-4459
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
917
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
917
STATE LICENSE
MN
Enumeration date
04/06/2007
Last updated
09/09/2019
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