Individual provider · Type 1 NPI

Mark Daniel Simmons, LCPC/C

Professional Counselor · Kennebunkport, ME

NPI number 1669850376 Active

Practice location

103 Whitten Hill Rd
Kennebunkport, ME 04046-5117

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XXL4378 (ME)
Mental Health Counselor 101YM0800XXL4378 (ME)
Professional Counselor Primary 101YP2500XXL4378 (ME)

Professional Counselor: Definition to come...

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About NPI 1669850376

Mark Daniel Simmons, LCPC/C's National Provider Identifier is 1669850376, issued on May 13, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kennebunkport, ME. The record was last updated on May 13, 2015.