Simmons, Glen Dale

Simmons, Glen Dale is an individual health care provider with primary practice located at 1803 N Jackson St , Tullahoma TN 37388-2201. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Simmons, Glen Dale can be contacted via phone (931) 461-1324.

Contact Information

Primary practice address
1803 N Jackson St Tullahoma TN 37388-2201
Phone: (931) 461-1324
Fax: (931) 461-1304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1457480816
LBN Legal business name Simmons, Glen Dale
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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