Individual
MS. DESIREE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
1075 S COURT ST STE 500, MEDINA, OH 44256-4354
(216) 396-0629
(330) 319-6111
Mailing address
1075 S COURT ST STE 500, MEDINA, OH 44256-4354
(216) 396-0629
(330) 319-6111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0900411-SUPV
OH
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253004
—
OH
01
—
E.0900411-SUPV
LPCC-S
OH
Enumeration date
01/19/2010
Last updated
09/11/2023
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