Individual
MRS. ALEXIS RENEE SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15146 16TH AVE, MARNE, MI 49435-9605
(616) 520-9074
Mailing address
159 OLMSTEAD ST, SPARTA, MI 49345-1123
(616) 690-0006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401224296
MI
Other
Enumeration date
12/28/2021
Last updated
06/11/2024
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