Individual
ERIC SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2068 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 340-1688
(208) 887-3660
Mailing address
835 E WANDERING LN APT 103, KUNA, ID 83634-5476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8331637
ID
101YM0800X
Mental Health Counselor
Primary
LPC-9762
ID
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/01/2018
Last updated
06/02/2026
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