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NPI Code Detail

MEDICARE: JENNIFER LYNN SOMMA LCPC

MEDICARE: JENNIFER LYNN SOMMA LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1144733957
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN SOMMA LCPC
Provider Business Mailing Address
First Line : 8138 BURNT SIENNA ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-0203
Country : US
Telephone Number : 702-371-8243
Fax Number :
Provider Business Practice Location Address
First Line : 3127 E WARM SPRINGS RD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3134
Country : US
Telephone Number : 702-850-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2017
Last Update Date : 05/30/2023

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