Individual
TAD SUMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CDCI
Contact information
Practice address
701 E TUDOR RD, STE 135, ANCHORAGE, AK 99503-7457
(907) 644-8044
(907) 644-8004
Mailing address
701 E TUDOR RD, STE 135, ANCHORAGE, AK 99503-7457
(907) 644-8044
(907) 644-8004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
1042
AK
Other
Enumeration date
01/05/2010
Last updated
02/01/2012
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