Individual
DANA ELIZABETH SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC, LSW
Contact information
Practice address
619 WASHINGTON AVE, TERRE HAUTE, IN 47802-1128
(812) 917-5006
Mailing address
619 WASHINGTON AVE, TERRE HAUTE, IN 47802-1128
(812) 917-5006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001599A
IN
104100000X
Social Worker
33008381A
IN
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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