Individual
RYAN SOMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHC
Contact information
Practice address
4301 GARDEN OAK DR, SOUTH BEND, IN 46628-4104
(574) 386-5402
Mailing address
4301 GARDEN OAK DR, SOUTH BEND, IN 46628-4104
(574) 386-5402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002231A
IN
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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