Individual
JULIA LYNN SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-12236
Contact information
Practice address
115 S. MCCORMICK ST #2, PRESCOTT, AZ 86303
(928) 499-0760
Mailing address
115 S. MCCORMICK ST #2, PRESCOTT, AZ 86303
(928) 499-0760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-12236
AZ
101YP2500X
Professional Counselor
101Y00000X
OR
101YP2500X
Professional Counselor
Primary
LPC-12236
AZ
Other
Enumeration date
02/22/2007
Last updated
03/16/2016
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