Individual
SIDNEY HUNTER SOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
770 RITCHIE HWY STE W16, SEVERNA PARK, MD 21146-4158
(443) 286-3578
Mailing address
17530 LAKE MELFORD AVE APT 2053, BOWIE, MD 20715-4530
(608) 906-2915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15259
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11318681170
—
MD
Enumeration date
07/08/2024
Last updated
07/08/2024
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