Individual
MR. CHRISTOPHER ELLIOT SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
799 LONG ST, SWEET HOME, OR 97386
(541) 367-3888
(541) 367-2407
Mailing address
445 SW 3RD AVE, ALBANY, OR 97321
(541) 967-3866
(541) 812-8812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS 14523
CA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L5730
LCSW
OR
Enumeration date
08/09/2006
Last updated
08/14/2014
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