Individual
MS. DIMONIQUE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
5575 CONNER ST STE 204B, DETROIT, MI 48213-6401
(248) 716-4910
(248) 522-7045
Mailing address
5575 CONNER ST STE 204B, DETROIT, MI 48213-6401
(248) 716-4910
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015911
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401015911
—
MI
Enumeration date
01/18/2018
Last updated
01/18/2018
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