Individual
MRS. JILL DIANE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
820 N THOMPSON LN STE 1D, MURFREESBORO, TN 37129-4340
(615) 499-5453
Mailing address
5409 STONEWOOD DR, SMYRNA, TN 37167-6510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3355
TN
101YP2500X
Professional Counselor
Primary
3355
TN
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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