Individual
SUMMER ROUSSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
2955 N HWY 97, BEND, OR 97703-7559
(541) 205-9290
(541) 610-1692
Mailing address
PO BOX 6445, BEND, OR 97708-6445
(458) 205-4876
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R11396
OR
Other
Enumeration date
03/27/2024
Last updated
07/09/2025
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