# MS. KISHA DENETTE SUMMERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649650821
- **Gender:** F
- **Credential:** LCAS-A, LPC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | A10899 | NC | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 20291 | NC | Yes |

## Other

- **Enumeration date:** 06/03/2015
- **Last updated:** 06/03/2015