RANDALL SCOTT SIMMONS

SEDRO WOOLLEY, WA
NPI1508213778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO 60585012)
Enumeration Date2016-05-18
Last Update Date2016-05-18
Business Address
-- RANDALL SCOTT SIMMONS CO 60585012
742 PACIFIC ST
SEDRO WOOLLEY, WA 98284-2021
Phone number: 360-826-2661
Mailing Address
-- RANDALL SCOTT SIMMONS CO 60585012
1601 E COLLEGE WAY
MOUNT VERNON, WA 98273-5612
Phone number:
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