Individual provider · Type 1 NPI

Shanette Jenea Simmons

Addiction (Substance Use Disorder) Counselor · Rochester, NY

NPI number 1053251850 Active

Practice location

1850 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2532

Call (585) 287-5622 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT39727 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053251850

Shanette Jenea Simmons's National Provider Identifier is 1053251850, issued on Mar 31, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, NY. The record was last updated on Mar 31, 2026.