MEDICARE: SUMMER A RAMUNDO LAC

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
1	101YM0800X	Mental Health Counselor	37AC00912800	NJ

General Provider Information

NPI Number	:	1497608681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMMER A RAMUNDO LAC

Provider Business Mailing Address
First Line	:	3117 STATE ROUTE 10
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-3625
Country	:	US
Telephone Number	:	973-525-2815
Fax Number	:

Provider Business Practice Location Address
First Line	:	3117 STATE ROUTE 10
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-3625
Country	:	US
Telephone Number	:	973-525-2815
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ SUMMER A RAMUNDO LAC” Practice Location

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