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Vanessa Simmons
Counselor in Fairfax, South Carolina
NPI 1396149340

Vanessa Simmons is a Counselor based in Barnwell, SC. Vanessa Simmons practices in Fairfax, SC. The NPI Number for Vanessa Simmons is 1396149340 and holds a License No. 6524 (South Carolina).

The current practice location address for Vanessa Simmons is 333 Revolutionary Trl, Fairfax, SC and can be reached out via phone at 803-632-2533 and via fax at 803-632-3285.

Location: 333 Revolutionary Trl, Fairfax, SC, 29812-1529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396149340
Provider Name
Vanessa Simmons
Credential
Provider Entity Type
Individual
Gender
Female
Address
333 Revolutionary Trl, Fairfax, SC, 29812-1529
Phone Number
803-632-2533
Fax Number
803-632-3285
Provider Enumeration Date
10/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AD01AK 05 SC
6524 01 SC MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
333 Revolutionary Trl
City
Fairfax
State
South Carolina
Zip
29827-7109
Phone Number
803-632-2533
Fax Number
803-632-3285
person
Provider Business Mailing Address Details
Address
333 Revolutionary Trl
City
Fairfax
State
South Carolina
Zip
29827-7109
Phone Number
803-632-2533
Fax Number
803-632-3285
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6524 (South Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6524 (South Carolina)
Definition
Definition to come...
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