Individual
JERRY ALAN SUMMERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
601 N SHORE DR STE 202, JEFFERSONVILLE, IN 47130-3145
(812) 913-7200
Mailing address
245 CHERRY ST APT A, NEW ALBANY, IN 47150-4806
(812) 913-7200
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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