# BETTY DEBERRY-SUMNER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114737244
- **Authorized official:** DR. BETTY J DEBERRY-SUMNER DDS, MS, LCPC (DIRECTOR/OWNER)
- **Authorized official phone:** (240) 506-4040

## Contact information

- **Practice address:** 10410 KENSINGTON PKWY STE 203, KENSINGTON, MD 20895-2947
- **Practice address phone:** (240) 506-4040
- **Practice address fax:** (240) 559-0921
- **Mailing address:** 10410 KENSINGTON PKWY STE 203, KENSINGTON, MD 20895-2947
- **Mailing address phone:** (240) 506-4040
- **Mailing address fax:** (240) 559-0921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2025
- **Last updated:** 01/10/2025