| Doctor Name: | BOBBI J SUMMERS |
| NPI Number: | 1558640623 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2008030681 |
| Business Practice Address: | 215 E High St Ste 5 Potosi, MO - 636641950 |
| Business Phone Number: | 5732104049 |
| Business Fax Number: | |
| Mailing Address: | 10089 Strange Rd, POTOSI |
| State: | MO |
| Postal Code: | 636648345 |
| Phone Number: | 5732104049 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2011 |
| NPI Last Update Date: | 03/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2008030681 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |