Individual provider · Type 1 NPI

Jesse M. Simmons, TCDAC

Addiction (Substance Use Disorder) Counselor · Cedar Rapids, IA

NPI number 1316802952 Active

Practice location

860 17th St SE
Cedar Rapids, IA 52403-2610

Mailing address

54 Oklahoma Ave SW
Cedar Rapids, IA 52404-5327

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1316802952

Jesse M. Simmons, TCDAC's National Provider Identifier is 1316802952, issued on Dec 17, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cedar Rapids, IA. The record was last updated on Dec 17, 2025.