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Krista Simmons, LCSW

Social Worker, Clinical in Fort Walton Beach, FL. Individual provider (NPI-1).

NPI number1669957791
StatusActive
Last updated in NPPESOct 24, 2024

Details

NPI
1669957791
Entity type
Individual (NPI-1)
Name
Krista Simmons
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Sep 25, 2018
Certification date
Oct 24, 2024
Last updated
Oct 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSW15407FLYes
1041C0700X Social Worker, Clinical0904009627VA
1041C0700X Social Worker, Clinical6656TN

Practice location

1992 Lewis Turner Blvd Ste 1067
Fort Walton Beach, FL 32547-1255

Phone 540-353-3280

Mailing address

1992 Lewis Turner Blvd Ste 1067
Fort Walton Beach, FL 32547-1255

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