Individual
REBECCA SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC INTERN
Contact information
Practice address
2208 E 14TH ST, AUSTIN, TX 78702-1306
(512) 662-1506
Mailing address
3105 DOMINIC DR, AUSTIN, TX 78745-7461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
84220
TX
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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