Organization
SUMMIT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE L MINIARD LCSW (SOCIAL WORKER)
(907) 978-1943
Entity
Organization
Contact information
Practice address
250 CUSHMAN ST STE 4F, FAIRBANKS, AK 99701-4665
(907) 978-1943
(360) 838-4806
Mailing address
700 SLEATER KINNEY RD SE STE B189, LACEY, WA 98503-1150
(907) 978-1943
(360) 838-4806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/07/2024
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