Lacey Simmons is a Peer Specialist based in Manteca, CA. Lacey Simmons practices in Manteca, CA. The NPI Number for Lacey Simmons is 1801676168 and holds a License No. (California).
The current practice location address for Lacey Simmons is 302 Cherry Ln Ste 101, Manteca, CA and can be reached out via phone at 209-647-6296.
Location: 302 Cherry Ln Ste 101, Manteca, CA, 95337-4311
Provider Profile Details
NPI Number
1801676168
Provider Name
Lacey Simmons
Credential
Provider Entity Type
Individual
Gender
Female
Address
302 Cherry Ln Ste 101, Manteca, CA, 95337-4311
Phone Number
209-647-6296
Fax Number
Provider Enumeration Date
10/04/2023
Last Update Date
04/14/2024
Provider Business Practice Location Address Details
Address
302 Cherry Ln Ste 101
City
State
Zip
95337-4311
Phone Number
209-647-6296
Fax Number
Provider Business Mailing Address Details
Address
302 Cherry Ln Ste 101
City
State
Zip
95337-4311
Phone Number
209-647-6296
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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