| Doctor Name: | JOSEPH K SUMNER |
| NPI Number: | 1104098805 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2147-132 |
| Business Practice Address: | 205 E Grand Ave Chippewa Falls, WI - 547292632 |
| Business Phone Number: | 7157238468 |
| Business Fax Number: | |
| Mailing Address: | 205 E Grand Ave, CHIPPEWA FALLS |
| State: | WI |
| Postal Code: | 547292632 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2008 |
| NPI Last Update Date: | 04/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2147-132 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |