Individual
CAROLYN SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10111 MARTIN LUTHER KING HWY, SUITE 103, BOWIE, MD 20720
(301) 459-0708
Mailing address
10111 MARTIN LUTHER KING HWY, SUITE 103, BOWIE, MD 20720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
MD
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
819022400
—
MD
Enumeration date
06/27/2018
Last updated
04/25/2022
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