Provider Demographics
NPI:1639453574
Name:KAAFARANI, SUMMER JOY (LPC-S)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:JOY
Last Name:KAAFARANI
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13192 MAPLETON DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6223
Mailing Address - Country:US
Mailing Address - Phone:214-336-5004
Mailing Address - Fax:
Practice Address - Street 1:2001 LORIENT DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-2321
Practice Address - Country:US
Practice Address - Phone:214-336-5004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65162101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional