Individual provider · Type 1 NPI
Nikisha Lynnette Simmons-Maclin, LADC
Addiction (Substance Use Disorder) Counselor · Coon Rapids, MN
NPI number
1063870905
Active
Practice location
10026 University Ave NW Ste 103
Coon Rapids, MN 55448-2213
Mailing address
10732 Ilex St NW
Coon Rapids, MN 55448-6508
Other practice locations
- 8557 Wyoming Ave N Ste 6, Brooklyn Park, MN 55445-1847 · (612) 636-9677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 304191 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Coon Rapids
- Calsi GilbertsonAddiction (Substance Use Disorder) Counselor Coon Rapids, MN NPI 1093484826
- Stephen Paul Montry, LADCAddiction (Substance Use Disorder) Counselor Coon Rapids, MN NPI 1124894936
- David Farris Rogge, M.A., L.A.D.C.Addiction (Substance Use Disorder) Counselor Coon Rapids, MN NPI 1235479247
- Nicole Hayes, BS, LADCAddiction (Substance Use Disorder) Counselor Coon Rapids, MN NPI 1255182572
- Lindsey Marie Kast, LADCAddiction (Substance Use Disorder) Counselor Coon Rapids, MN NPI 1336836469
- Ryan Justin Dusek, LADCAddiction (Substance Use Disorder) Counselor Coon Rapids, MN NPI 1386416410
- Luke Goettlicher, LADCAddiction (Substance Use Disorder) Counselor Coon Rapids, MN NPI 1427484898
- Gabrielle Kristine FiskAddiction (Substance Use Disorder) Counselor Coon Rapids, MN NPI 1457217002
About NPI 1063870905
Nikisha Lynnette Simmons-Maclin, LADC's National Provider Identifier is 1063870905, issued on Feb 6, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coon Rapids, MN. The record was last updated on Jan 30, 2019.