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Individual

JAMES CLARENCE SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
205 JACKSON ST NW, CLEVELAND, TN 37312-5322
(423) 280-3186
(423) 790-5299
Mailing address
205 JACKSON STREET NW, JAMES C SIMMONS, CLEVELAND, TN 37312-5322
(423) 280-3186
(423) 790-5299

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
PE0000011139
TN
101YM0800X
Mental Health Counselor
Primary
PE0000011139
TN

Other

Enumeration date
07/18/2012
Last updated
07/18/2012
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