John Kenneth Summerville
Counselor, Mental Health in Gresham, OR. Individual provider (NPI-1).
NPI number1710830005
StatusActive
Last updated in NPPESFeb 17, 2026
Details
- NPI
- 1710830005
- Entity type
- Individual (NPI-1)
- Name
- John Kenneth Summerville
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2026
- Certification date
- Feb 17, 2026
- Last updated
- Feb 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
360 Sw 6th StGresham, OR 97080-9475
Phone 503-568-6056
Mailing address
2700 W Powell Blvd Apt 209Gresham, OR 97030-6569
Phone 503-568-6056
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All 193 Mental Health Counselor providers in Gresham · All 2,430 providers in Gresham
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