Individual
DOUGLAS A. SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(918) 256-6476
(918) 256-5362
Mailing address
515 N MILLER ST, VINITA, OK 74301-2303
(918) 244-1552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2015
Last updated
02/23/2015
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