Individual
AMBER SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2855 TELEGRAPH AVE STE 515, BERKELEY, CA 94705-1151
(510) 764-3787
Mailing address
2855 TELEGRAPH AVE STE 515, BERKELEY, CA 94705-1151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
78985
CA
1041C0700X
Clinical Social Worker
Primary
94453
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/03/2014
Last updated
04/08/2022
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