Provider Demographics
NPI:1811272198
Name:SIMMONS, JAMES LAMONT
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LAMONT
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 CONTINENTALS WAY
Mailing Address - Street 2:APARTMENT 101
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-3161
Mailing Address - Country:US
Mailing Address - Phone:650-346-7949
Mailing Address - Fax:
Practice Address - Street 1:1016 CONTINENTALS WAY
Practice Address - Street 2:APARTMENT 101
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-3161
Practice Address - Country:US
Practice Address - Phone:650-346-7949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor