Individual
MR. MARK A SIMMS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
9580 PEP RALLY LN, WALDORF, MD 20603-5324
(240) 396-7129
Mailing address
9580 PEP RALLY LN, WALDORF, MD 20603-5324
(240) 396-7129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP16113
MD
Other
Enumeration date
02/11/2025
Last updated
02/12/2025
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