Individual
SUMMYR NICKOLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 DEARWELL WAY, SAN JOSE, CA 95138-1608
(209) 829-8039
Mailing address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1093
(916) 452-3981
(916) 226-2804
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7187
CA
101YM0800X
Mental Health Counselor
APCC7187
CA
101YP2500X
Professional Counselor
Primary
LPCC-16097
CA
Other
Enumeration date
11/09/2013
Last updated
03/04/2025
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