person
Samuel Simmons JR., LADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1902281256

Samuel Simmons JR. is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Samuel Simmons JR. practices in Minneapolis, MN and has the professional credentials of LADC. The NPI Number for Samuel Simmons JR. is 1902281256 and holds a License No. 300322 (Minnesota).

The current practice location address for Samuel Simmons JR. is 3442 25Th Ave S, Minneapolis, MN and can be reached out via phone at 612-721-0106.

Location: 3442 25Th Ave S, Minneapolis, MN, 55406-2504
person
Provider Profile Details
NPI Number
1902281256
Provider Name
Samuel Simmons JR.
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
3442 25Th Ave S, Minneapolis, MN, 55406-2504
Phone Number
612-721-0106
Fax Number
Provider Enumeration Date
07/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300322 01 MN LADC
institution
Provider Business Practice Location Address Details
Address
3442 25Th Ave S
City
State
Zip
55406-2504
Phone Number
612-721-0106
Fax Number
person
Provider Business Mailing Address Details
Address
3442 25Th Ave S
City
State
Zip
55406-2504
Phone Number
612-721-0106
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300322 (Minnesota)
Definition
Definition to come...
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