Provider Demographics
NPI:1093831919
Name:SUMLER, JEFFERY M (LMFT)
Entity Type:Individual
Prefix:MR
First Name:JEFFERY
Middle Name:M
Last Name:SUMLER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7611 STATE LINE RD
Mailing Address - Street 2:STE. 142
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-6801
Mailing Address - Country:US
Mailing Address - Phone:816-763-7605
Mailing Address - Fax:816-763-1802
Practice Address - Street 1:7611 STATE LINE RD
Practice Address - Street 2:STE. 142
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-6801
Practice Address - Country:US
Practice Address - Phone:816-763-7605
Practice Address - Fax:816-763-1802
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002030207106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist