Individual
ANGELA DAWN SUMMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
212 MEDICAL DR, NATCHITOCHES, LA 71457-6052
(318) 357-3283
Mailing address
816 WATSON DR., NATCHITOCHES, LA 71457
(318) 352-5848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1201
LA
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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