Individual
MR. JEFFREY ROBERT SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAC CCS
Contact information
Practice address
2325 WEYMOUTH DR, BATON ROUGE, LA 70809-1481
(225) 361-0899
Mailing address
686 COLLEGE HILL DR, BATON ROUGE, LA 70808-4949
(225) 229-1094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1534
LA
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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