Individual
DR. CHAUNTEL MARIE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
690 N REILLY RD, STE, 3, FAYETTEVILLE, NC 28303-5724
(910) 991-2347
(910) 436-2154
Mailing address
49 GUILFORD CT, SPRING LAKE, NC 28390-7058
(910) 987-6342
(910) 436-2154
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7412
NC
101YP2500X
Professional Counselor
PC003761
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7412
PROFESSIONAL COUNSELOR
NC
01
—
PC003761
PROFESSIONAL COUNSELOR
PA
Enumeration date
02/06/2007
Last updated
07/05/2012
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