Individual
COREY SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2266 WAKEFIELD MOUND RD, PIKETON, OH 45661-9660
(740) 947-6727
Mailing address
40 STOCKHAM HILL RD, WEST PORTSMOUTH, OH 45663-8939
(740) 835-9032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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