Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | E05000333 | OH |
N | 101YM0800X | Mental Health Counselor | E0500033 | OH |
N | 101YP1600X | Pastoral Counselor | EO500033 | OH |
Y | 101YP2500X | Professional Counselor | E0500033 | OH |
NPI | 1326376963 |
---|---|
Provider Name | Ms. Katherine Annette Simmons |
First Address | Lima, OH 45801-4332 |
Second Address | Tiffin, OH 44883-2652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2009 |
Last Update Date | 15/07/2020 |