Provider Demographics
NPI:1144948290
Name:SUMMERS, SHARIANNE (LPC)
Entity type:Individual
Prefix:
First Name:SHARIANNE
Middle Name:
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHARIANNE
Other - Middle Name:
Other - Last Name:LANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:302 N 4000 E
Mailing Address - Street 2:
Mailing Address - City:RIGBY
Mailing Address - State:ID
Mailing Address - Zip Code:83442-5533
Mailing Address - Country:US
Mailing Address - Phone:208-705-9594
Mailing Address - Fax:
Practice Address - Street 1:130 N 1ST W
Practice Address - Street 2:
Practice Address - City:RIGBY
Practice Address - State:ID
Practice Address - Zip Code:83442-1377
Practice Address - Country:US
Practice Address - Phone:208-351-5539
Practice Address - Fax:208-319-5561
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-8916101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional