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NPI 1205805280

NPI 1205805280 : JOANN C SIMMONS MA LMHC : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1205805280
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    Entity Type          |    Individual 
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    Provider Name        |    JOANN C SIMMONS MA LMHC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/14/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1417 N SEMORAN BLVD SUITE 201
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32807
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    Country              |    US
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    Telephone            |    407-405-2735
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    Fax                  |    407-767-0734
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Provider Business Mailing Address
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    Address Line         |    2280 WINSLOW CIRCLE 
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    City                 |    CASSELBERRY
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    State                |    FL
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    Zip                  |    32707
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    Country              |    US
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    Telephone            |    407-332-0562
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    Fax                  |    407-767-0734
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    MH6324
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    License Number State |    FL
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