| NPI | 1215342274 |
|---|---|
| Other Name | CHAZ SIMMONS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015242) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0007896) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2019-10-29 |