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Kevin Marte Summerize
Addiction (Substance Use Disorder) Counselor in St Augustine, Florida
NPI 1114415965

Kevin Marte Summerize is an Addiction (Substance Use Disorder) Counselor based in St Augustine, FL and is specialized in Addiction (Substance Use Disorder). Kevin Marte Summerize practices in St Augustine, FL. The NPI Number for Kevin Marte Summerize is 1114415965 and holds a License No. (Florida).

The current practice location address for Kevin Marte Summerize is 3574 Us 1 S Ste 101-104, St Augustine, FL and can be reached out via phone at 904-217-7161.

Location: 3574 Us 1 S Ste 101-104, St Augustine, FL, 32086-6466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114415965
Provider Name
Kevin Marte Summerize
Credential
Provider Entity Type
Individual
Gender
Male
Address
3574 Us 1 S Ste 101-104, St Augustine, FL, 32086-6466
Phone Number
904-217-7161
Fax Number
Provider Enumeration Date
04/27/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S 05 FL
institution
Provider Business Practice Location Address Details
Address
3574 Us 1 S Ste 101-104
City
St Augustine
State
Florida
Zip
32086-6466
Phone Number
904-217-7161
Fax Number
person
Provider Business Mailing Address Details
Address
3574 Us 1 S Ste 101-104
City
St Augustine
State
Florida
Zip
32086-6466
Phone Number
904-217-7161
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Florida)
Definition
Definition to come...
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