Individual
BEVERLY SUMMERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
19 JEFFERSON DR SW, ROME, GA 30165-3713
(706) 676-7544
Mailing address
19 JEFFERSON DR SW, ROME, GA 30165-3713
(706) 676-7544
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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