Individual
CHASE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1616 GRANT ST, PORTSMOUTH, OH 45662-3663
(409) 010-4167
(740) 901-0417
Mailing address
1616 GRANT ST, PORTSMOUTH, OH 45662-3663
(740) 935-1656
(740) 901-0417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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