| Doctor Name: | MR. CHRISTOPHER ELLIOT SIMMONS |
| NPI Number: | 1891705901 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCS 14523 |
| Business Practice Address: | 799 Long St Sweet Home, OR - 97386 |
| Business Phone Number: | 5413673888 |
| Business Fax Number: | 5413672407 |
| Mailing Address: | 445 Sw 3rd Ave, ALBANY |
| State: | OR |
| Postal Code: | 97321 |
| Phone Number: | 5419673866 |
| Fax Number: | 5418128812 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 08/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS 14523 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |