Individual
MR. ROBERT SUMMEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1552 UNION RD, SUITE E, GASTONIA, NC 28054-5523
(704) 833-0154
(704) 833-7076
Mailing address
2501 HOLLY OAK LN, GASTONIA, NC 28056-0003
(980) 329-6306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
7189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104095
—
NC
Enumeration date
12/28/2008
Last updated
10/03/2016
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