Individual provider · Type 1 NPI
Gwen S. Simmons, ED.D., LPC, NBC, MAC
Addiction (Substance Use Disorder) Counselor · Vass, NC
NPI number
1417072398
Active
Practice location
867 Castleberry Ct
Vass, NC 28394-8306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CCAS 104 (NC) |
| Professional Counselor | 101YP2500X | LPC 2013 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1417072398
Gwen S. Simmons, ED.D., LPC, NBC, MAC's National Provider Identifier is 1417072398, issued on Mar 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vass, NC. The record was last updated on Sep 11, 2025.