Organization
FAMILY OUTREACH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY M SIMMS PH.D (DIRECTOR)
(562) 984-2012
Entity
Organization
Contact information
Practice address
4401 ATLANTIC AVE STE 231, LONG BEACH, CA 90807-2246
(562) 984-2012
(562) 984-2022
Mailing address
4401 ATLANTIC AVE STE 231, LONG BEACH, CA 90807-2246
(562) 984-2012
(562) 984-2022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MFT 28731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912925900
NPI UNDER MY PERSONAL NAME MARY M. SIMMS
CA
Enumeration date
10/29/2012
Last updated
10/29/2012
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