Provider Demographics
NPI:1346500683
Name:SUMMERS, BREE NICOLE (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:BREE
Middle Name:NICOLE
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MISS
Other - First Name:BREE
Other - Middle Name:NICOLE
Other - Last Name:BARACKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3021 3RD AVENUE NORTH
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101
Mailing Address - Country:US
Mailing Address - Phone:406-294-5090
Mailing Address - Fax:406-294-5091
Practice Address - Street 1:3021 3RD AVE N
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1940
Practice Address - Country:US
Practice Address - Phone:406-294-5090
Practice Address - Fax:406-294-5091
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2272101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor