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General NPI Number Information
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NPI Number | 1720585052
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Entity Type | Individual
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Provider Name | DONALD A SIMMONS LPC, LAC
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Gender | Male
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 424 32 RD TRLR 6
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City | CLIFTON
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State | CO
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Zip | 81520-9502
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Country | US
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Telephone | 970-799-9711
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Fax |
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Provider Business Mailing Address
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Address Line | 424 32 RD TRLR 6
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City | CLIFTON
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State | CO
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Zip | 81520-9502
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Country | US
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Telephone | 970-799-9711
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.0002195
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 98368
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0021818
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License Number State | CO
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