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Individual
JERRY ALAN SUMMERFIELD
Active
Individual
JERRY ALAN SUMMERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
39003597A
IN
101YM0800X
Mental Health Counselor
MH13868
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH13868
STATE OF FLORIDA
FL
Enumeration date
12/20/2012
Last updated
08/08/2025
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