Individual provider · Type 1 NPI

Keith Thomas Simmons

Addiction (Substance Use Disorder) Counselor · Folsom, CA

NPI number 1619614732 Active

Practice location

130 Prospector Ct
Folsom, CA 95630-5119

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI41460124 (CA)

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

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About NPI 1619614732

Keith Thomas Simmons's National Provider Identifier is 1619614732, issued on May 19, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Folsom, CA. The record was last updated on Jun 12, 2024.