Summer Lucille Child
Counselor, Addiction (Substance Use Disorder) in Redding, CA. Individual provider (NPI-1).
NPI number1639748841
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1639748841
- Entity type
- Individual (NPI-1)
- Name
- Summer Lucille Child
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 34359 | CA | Yes |
Practice location
3617 Ricardo Ave Apt 1Redding, CA 96002-2653
Phone 530-722-1114
Mailing address
3617 Ricardo Ave Apt 1Redding, CA 96002-2653
Phone 530-722-1114
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