Provider Demographics
NPI:1255000204
Name:HILL, SUMMER (LMFT 152347)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:LMFT 152347
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 CAMINO DEL RIO S STE 160
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3779
Mailing Address - Country:US
Mailing Address - Phone:619-881-0377
Mailing Address - Fax:858-777-9676
Practice Address - Street 1:2535 CAMINO DEL RIO S STE 160
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3779
Practice Address - Country:US
Practice Address - Phone:619-881-0377
Practice Address - Fax:858-777-9676
Is Sole Proprietor?:No
Enumeration Date:2021-09-12
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CA152347106H00000X
CA136733106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor