Individual
SUMMERSLEE MADISON LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10613 N HAYDEN RD STE J-103, SCOTTSDALE, AZ 85260-5683
(480) 485-8824
Mailing address
12970 E CIBOLA RD, SCOTTSDALE, AZ 85259-3563
(702) 596-0078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AZ
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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