Provider Demographics
NPI:1992832562
Name:SUMNER, VALRI JEAN (CAADE #061297)
Entity Type:Individual
Prefix:MS
First Name:VALRI
Middle Name:JEAN
Last Name:SUMNER
Suffix:
Gender:F
Credentials:CAADE #061297
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Mailing Address - Street 1:1293 N LUCERNE LN
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93728-1712
Mailing Address - Country:US
Mailing Address - Phone:559-283-1421
Mailing Address - Fax:
Practice Address - Street 1:2772 SOUTH MARTIN LUTHER KING
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706
Practice Address - Country:US
Practice Address - Phone:559-265-4800
Practice Address - Fax:559-265-4823
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)