Individual provider · Type 1 NPI
Randall Scott Simmons, CO 60585012
Addiction (Substance Use Disorder) Counselor · Sedro Woolley, WA
NPI number
1508213778
Active
Practice location
742 Pacific St
Sedro Woolley, WA 98284-2021
Mailing address
1601 E College Way
Mount Vernon, WA 98273-5612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CO 60585012 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508213778
Randall Scott Simmons, CO 60585012's National Provider Identifier is 1508213778, issued on May 18, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sedro Woolley, WA. The record was last updated on May 18, 2016.