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NPI Code Detail

MEDICARE: ALICIA MARY SUMMERS LPC

MEDICARE: ALICIA MARY SUMMERS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor0018036CO
2101YM0800XMental Health Counselor0018204CO

General Provider Information

NPI Number : 1306503081
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA MARY SUMMERS LPC
Provider Business Mailing Address
First Line : 8471 TURNPIKE DR STE 250
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-7048
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 8471 TURNPIKE DR STE 250
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-7048
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2021
Last Update Date : 06/08/2022

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Directions to “ ALICIA MARY SUMMERS LPC” Practice Location

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