Female

Channon M. Summer-dupree BS

Counselor in Spokane, WA(View on Map)

Full Name

Channon Marie Summer-dupree BS

NPI Number

1013486349

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/15/2018

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

CG60728087

Contact
Information

Purpose

Mailing
Location

Address

107 S DIVISION ST
5901 N LIDGERWOOD ST STE 115

City

Spokane
Spokane

State

WA
WA

Postal Code

99202-1510
99208-1122

Country

US
US

Telephone Number

(509) 838-4651
(509) 838-4651

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/27/2018

Provider Address

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