Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn Diane Summerlin

Individual provider Mental Health Counselor · NPI 1053985838

Jacquelyn Diane Summerlin is a Mental Health Counselor in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
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Practice location Address checks out

740 W Milwaukee
Detroit, MI 48202
Phone: (313) 344-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6801015744 (MI)

Record details

NPI number1053985838
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 17, 2021
Last updated in NPPESMay 17, 2021
Certification dateApril 20, 2021

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