Individual
MRS. CASSIANNA MIRANDA SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
1 N INDIAN HILL BLVD STE 208, CLAREMONT, CA 91711-4769
(909) 675-7185
Mailing address
8246 KINLOCK AVE, RANCHO CUCAMONGA, CA 91730-3739
(909) 200-6726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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