Individual
VENECIA SUMMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2501 INTERNATIONAL PARK DR, BIRMINGHAM, AL 35243-4253
(205) 813-7400
Mailing address
PO BOX 403, BIRMINGHAM, AL 35201-0403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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