Randy Simmonds

NPI #1912464769 in Edwards, Colorado

Provider Information

NPI Number: 1912464769
Entity Type: Individual
Name: Randy Simmonds
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Feb 28, 2019
Last Updated: Feb 28, 2019

Practice Location

Address: 90 LARIAT LOOP
City: Edwards
State: Colorado
ZIP Code: 81632
Phone: (970) 926-8558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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