Individual
CRYSTAL CHERIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA,QMHP,QSAP, LCASA
Contact information
Practice address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
Mailing address
615 E 6TH ST # 103, CHARLOTTE, NC 28202-2918
(704) 430-1038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20101
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
Other
Enumeration date
12/06/2012
Last updated
05/09/2022
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