Vanessa Simmons
NPI #1396149340 in Fairfax, South Carolina
Provider Information
- NPI Number
- 1396149340
- Entity Type
- Individual
- Name
- Vanessa Simmons
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Oct 20, 2014
- Last Updated
- Jan 11, 2024
Practice Location
- Address
- 333 REVOLUTIONARY TRL
- City
- Fairfax
- State
- South Carolina
- ZIP Code
- 29827-7109
- Phone
- (803) 632-2533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor |
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Organizations
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|---|---|
| Martial Art Academy | |
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