NIKISHA LYNNETTE SIMMONS-MACLIN

COON RAPIDS, MN
NPI1063870905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304191)
Enumeration Date2016-02-06
Last Update Date2019-01-30
Business Address
Mrs. NIKISHA LYNNETTE SIMMONS-MACLIN LADC
10026 UNIVERSITY AVE NW STE 103
COON RAPIDS, MN 55448-2213
Phone number: 612-636-9677
Mailing Address
Mrs. NIKISHA LYNNETTE SIMMONS-MACLIN LADC
10732 ILEX ST NW
COON RAPIDS, MN 55448-6508
Phone number: 612-636-9677