ENDIA DOMINIQUE SIMMONS

MARION, OH
NPI1871180018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  cdca.75276)
Enumeration Date2020-12-22
Last Update Date2020-12-22
Business Address
ENDIA DOMINIQUE SIMMONS CDCA
1271 CRESCENT HIEGHTS RD
MARION, OH 43302
Phone number: 740-360-8910
Mailing Address
ENDIA DOMINIQUE SIMMONS CDCA
527 E FAIRGROUND ST
MARION, OH 43302-2639
Phone number: 740-360-8910