Individual
DONNA D SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.COUN, LPC, NCC
Contact information
Practice address
210 W BURNSIDE AVE STE A, CHUBBUCK, ID 83202-4916
(208) 238-9000
(208) 238-9002
Mailing address
210 W BURNSIDE AVE STE A, CHUBBUCK, ID 83202-4916
(208) 238-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4066
ID
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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