Legal Business Name
NPI #1669200804 in Joshua, Texas
Provider Information
- NPI Number
- 1669200804
- Entity Type
- Organization
- Organization Name
- Legal Business Name
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 22, 2024
- Last Updated
- Jul 22, 2024
Practice Location
Authorized Official
- Name
- MR. NICHOLAS JAY SIMMONS, MA, LPCA
- Title
- COUNSELOR
- Phone
- (903) 237-9689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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