Individual
MS. TEENA SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
200 OHIO ST., ASHLAND, OR 97520
(541) 930-1100
Mailing address
200 OHIO ST, ASHLAND, OR 97520-1121
(541) 930-1100
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1087
OR
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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