Individual
REGINA SIMSALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2329 BARBARA LN SE, SMYRNA, GA 30080-2543
(443) 248-4404
Mailing address
2329 BARBARA LN SE, SMYRNA, GA 30080-2543
(443) 248-4404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
24761
MD
104100000X
Social Worker
Primary
24761
MD
1041C0700X
Clinical Social Worker
24761
MD
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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