Individual provider · Type 1 NPI
Samuel Simmons Jr., LADC
Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
NPI number
1902281256
Active
Practice location
3442 25th Ave S
Minneapolis, MN 55406-2504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300322 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1902281256
Samuel Simmons Jr., LADC's National Provider Identifier is 1902281256, issued on Jul 28, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 28, 2015.