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Rick Summerville

Counselor, Addiction (Substance Use Disorder) in Tarzana, CA. Individual provider (NPI-1).

NPI number1528298635
StatusActive
Last updated in NPPESApr 21, 2023

Details

NPI
1528298635
Entity type
Individual (NPI-1)
Name
Rick Summerville
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 23, 2009
Certification date
Apr 21, 2023
Last updated
Apr 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)–CAYes
225400000X Rehabilitation Practitioner––

Practice location

18646 Oxnard St
Tarzana, CA 91356-1486

Phone 818-996-1051

Mailing address

8401 S Vermont Ave
Los Angeles, CA 90044-3423

Phone 323-481-0979

Other practice locations

6055 E Washington Blvd
Suite 900
Commerce, CA 90040-2449

Phone 323-346-0960

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