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Melissa Simmons
Addiction (Substance Use Disorder) Counselor in Bloomington, Illinois
NPI 1740607522

Melissa Simmons is an Addiction (Substance Use Disorder) Counselor based in Bloomington, IL and is specialized in Addiction (Substance Use Disorder). Melissa Simmons practices in Bloomington, IL. The NPI Number for Melissa Simmons is 1740607522 and holds a License No. 180.005730 (Illinois).

The current practice location address for Melissa Simmons is 1003 Martin Luther King Dr, Bloomington, IL and can be reached out via phone at 309-827-6026.

Location: 1003 Martin Luther King Dr, Bloomington, IL, 61701-6546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740607522
Provider Name
Melissa Simmons
Credential
Provider Entity Type
Individual
Gender
Female
Address
1003 Martin Luther King Dr, Bloomington, IL, 61701-6546
Phone Number
309-827-6026
Fax Number
Provider Enumeration Date
03/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1003 Martin Luther King Dr
City
Bloomington
State
Illinois
Zip
61701-1429
Phone Number
309-827-6026
Fax Number
person
Provider Business Mailing Address Details
Address
1003 Martin Luther King Dr
City
Bloomington
State
Illinois
Zip
61701-1429
Phone Number
309-827-6026
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
19945 (Illinois)
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.
180.005730 (Illinois)
Definition
Definition to come...
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