Individual
MICHAEL L SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2303 S YORK ST, MUSKOGEE, OK 74403-8876
(918) 686-5588
Mailing address
PO BOX 516, MUSKOGEE, OK 74402-0516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2390
OK
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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