JACKIE SIMMONS

BATON ROUGE, LA
NPI1043683444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  CIT3407)
Enumeration Date2015-11-06
Last Update Date2015-11-06
Business Address
-- JACKIE SIMMONS MSP, CIT3407
2274 WOODDALE BLVD
BATON ROUGE, LA 70806-1444
Phone number: 225-928-1088
Mailing Address
-- JACKIE SIMMONS MSP, CIT3407
2274 WOODDALE BLVD
BATON ROUGE, LA 70806-1444
Phone number: 225-928-1088
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