Individual provider · Type 1 NPI
Sandra Diana Simmons I, MS
Professional Counselor · Boston, MA
NPI number
1265597660
Active
Practice location
25 Staniford St
Boston, MA 02114-2503
Fax (617) 523-1207
Mailing address
30 Clipper Ship Ln
East Boston, MA 02128-2709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1265597660
Sandra Diana Simmons I, MS's National Provider Identifier is 1265597660, issued on Dec 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.