Organization
SUMNER COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATICIA M SUMNER LIMHP (COUNSELOR/OWNER)
(402) 640-5569
Entity
Organization
Contact information
Practice address
2501 LAKERIDGE DR, STE. 104C, NORFOLK, NE 68701-2558
(402) 640-5569
(402) 844-3406
Mailing address
209 W MAPLE AVE, NORFOLK, NE 68701-4135
(402) 640-5569
(402) 844-3406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
758, 1290
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026017400
—
NE
Enumeration date
04/19/2012
Last updated
04/19/2012
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