Individual provider · Type 1 NPI

Rick Summerville

Addiction (Substance Use Disorder) Counselor · Tarzana, CA

NPI number 1528298635 Active

Practice location

18646 Oxnard St
Tarzana, CA 91356-1486

Mailing address

8401 S Vermont Ave
Los Angeles, CA 90044-3423

Other practice locations

  • 6055 E Washington Blvd, Suite 900, Commerce, CA 90040-2449 · (323) 346-0960

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1528298635

Rick Summerville's National Provider Identifier is 1528298635, issued on Jul 23, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tarzana, CA. The record was last updated on Apr 21, 2023.