Organization
LINDA SUMMERS ADULT & CHILD PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA KAY SUMMERS LPCC MA (SOLE PROPRIETOR)
(505) 377-0558
Entity
Organization
Contact information
Practice address
1424 DEBORAH RD SE, RIO RANCHO, NM 87124-1058
(505) 377-0558
Mailing address
PO BOX 3172, ALBUQUERQUE, NM 87190-3172
(505) 377-0558
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
03-241129-00-4
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00026778
—
NM
Enumeration date
11/21/2016
Last updated
11/21/2016
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