| NPI | 1821311234 |
|---|---|
| Other Name | JAKE SIMMONS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48249) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 8151) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2025-01-27 |