Individual
SAMUEL BOMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
10273 YELLOW CIRCLE DR, MINNETONKA, MN 55343-9144
(952) 215-3756
Mailing address
10273 YELLOW CIRCLE DR, MINNETONKA, MN 55343-9144
(952) 215-3756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2272
MN
Other
Enumeration date
11/20/2019
Last updated
03/29/2022
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