Summers, Chauntel Marie
Summers, Chauntel Marie is an sole proprietor health care provider with primary practice located at 690 N Reilly Rd Ste, 3, Fayetteville NC 28303-5724. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Summers, Chauntel Marie can be contacted via phone (910) 991-2347.Contact Information
Primary practice address
690 N Reilly Rd Ste, 3
Fayetteville NC 28303-5724
Phone: (910) 991-2347
Fax: (910) 436-2154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC003761 | Pennsylvania |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7412 | North Carolina |
Profile Details
| NPI number | 1396884128 |
|---|---|
| LBN Legal business name | Summers, Chauntel Marie |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 5th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396884128 | NPPES |
| North Carolina | Other | 7412 | PROFESSIONAL COUNSELOR |
| North Carolina | Other | PC003761 | PROFESSIONAL COUNSELOR |
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