Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NIKISHA LYNNETTE SIMMONS-MACLIN, LADC
Active Sole ProprietorMRS. NIKISHA LYNNETTE SIMMONS-MACLIN, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in COON RAPIDS, Minnesota. NPI 1063870905 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · COON RAPIDS, MN
Registration Details
- NPI Number
- 1063870905
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2016 (10.500875480036 yrs)
- Last Updated
- Jan 30, 2019
- License
-
304191 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10026 UNIVERSITY AVE NW STE 103COON RAPIDS, MN, 554482213Browse MN providers · Browse ZIP 55448
- Phone
- 6126369677
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID FARRIS ROGGE | M.A., L.A.D.C. | 1235479247 |
| LUKE GOETTLICHER | LADC | 1427484898 |
| MELISSA LANGEWISCH | BAS, LADC | 1487058020 |
| ERIK ENERSON | — | 1982061727 |
| JACLYN RACHELLE RICE | — | 1457833204 |
| MS. ANGELA KAY POTTS | BA, LADC | 1457906620 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.