Provider Demographics
NPI:1558800300
Name:SOMMER, BONNIE LOU (LPC)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:LOU
Last Name:SOMMER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7750 N UNION BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4051
Mailing Address - Country:US
Mailing Address - Phone:719-380-1644
Mailing Address - Fax:719-380-1694
Practice Address - Street 1:7750 N UNION BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-4051
Practice Address - Country:US
Practice Address - Phone:719-380-1644
Practice Address - Fax:719-380-1694
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013248101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional