Individual provider · Type 1 NPI

Kristina Summers, SUDRC 9427

Addiction (Substance Use Disorder) Counselor · Lompoc, CA

NPI number 1972168961 Active

Practice location

604 W Ocean Ave
Lompoc, CA 93436-6630

Fax (800) 969-9350

Mailing address

1933 Elmwood Dr
Santa Maria, CA 93455-2820

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSUDRC9427 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972168961

Kristina Summers, SUDRC 9427's National Provider Identifier is 1972168961, issued on May 6, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lompoc, CA. The record was last updated on May 6, 2019.