Individual
KATHY LYNNE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC-I
Contact information
Practice address
2425 TEXAS DR, IRVING, TX 75062-7027
(945) 288-0030
Mailing address
9121 WINDRUSH DR N APT 1008, FORT WORTH, TX 76116-6653
(817) 209-9601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
66673
TX
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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