ENDIA DOMINIQUE SIMMONS CDCA
NPI 1871180018
Counselor - Addiction (Substance Use Disorder) in Marion, OH
Active since December 22, 2020
About Endia Dominique Simmons Cdca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENDIA DOMINIQUE SIMMONS CDCA (NPI 1871180018) is an individual addiction (substance use disorder) provider in Marion, Ohio, licensed in Ohio (CDCA.75276) and active in the NPI registry since December 2020.
NPPES Registry Identity
NPI1871180018
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameENDIA DOMINIQUE SIMMONSCredential: CDCA
Location Address1271 CRESCENT HIEGHTS RDMarion, OH 43302
Mailing Address527 E Fairground StMarion, OH 43302-2639 · (740) 360-8910
Phone(740) 360-8910
Sole ProprietorNo
Enumeration DateDecember 22, 2020
NPPES CertifiedDecember 16, 2020
✔ NPI 1871180018 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.75276
1271 CRESCENT HIEGHTS RD, Marion, OH 43302
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871180018, enumerated as an "individual" on December 22, 2020.
The provider is located at 1271 CRESCENT HIEGHTS RD MARION, OH 43302 and the phone number is (740) 360-8910.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
