Melissa Simmons

NPI #1740607522 in Bloomington, Illinois

Provider Information

NPI Number: 1740607522
Entity Type: Individual
Name: Melissa Simmons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 18, 2014
Last Updated: Mar 18, 2014

Practice Location

Address: 1003 MARTIN LUTHER KING DR
City: Bloomington
State: Illinois
ZIP Code: 61701-1429
Phone: (309) 827-6026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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