Individual
LISA DIANNE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
120 E NEW YORK AVE, SUITE B, DELAND, FL 32724-5568
(386) 738-5543
(386) 738-9821
Mailing address
120 E NEW YORK AVE, SUITE B, DELAND, FL 32724-5568
(386) 738-5543
(386) 738-9821
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1899
FL
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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