Most Relevant Information
Provider Data
| NPI Number: | 1003330044 |
| Provider Name: | SUMMER PACCASSI LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 52601 |
Most Important Dates
| Enumeration Date: | 08/01/2017 |
| Last Updated: | 08/01/2017 |
Provider Practice Location
333 PINEWOOD AVE
SANGER
CA
936574283
Practice Location Phone/Fax
| Phone: | 5593419656 |
| Fax: |
Provider Mailing Location
333 PINEWOOD AVE
SANGER
CA
936574283
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |