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Individual

MRS. AMANDA MAY KLEEMAN SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-S, LPCC, NCC, MS

Contact information

Practice address
419 GEORGIA ST STE 11, VALLEJO, CA 94590-6046
(707) 688-8859
Mailing address
15 W 6TH ST STE 1211, TULSA, OK 74119-5406
(918) 299-5055
(918) 295-5056

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7328
OK
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200531320B
OK
Enumeration date
05/17/2013
Last updated
01/20/2023
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