Individual provider · Type 1 NPI
Carolyn Marie Simmons, CADTP CETIF# 7468
Addiction (Substance Use Disorder) Counselor · Sacramento, CA
NPI number
1750199956
Active
Practice location
1550 Juliesse Ave
Sacramento, CA 95815-1803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 7468 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1750199956
Carolyn Marie Simmons, CADTP CETIF# 7468's National Provider Identifier is 1750199956, issued on Dec 20, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Jan 23, 2025.