Most Relevant Information
Provider Data
| NPI Number: | 1003491564 |
| Provider Name: | NICOLE SONNLEITNER GOODE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LGP11227 |
Most Important Dates
| Enumeration Date: | 03/16/2021 |
| Last Updated: | 03/08/2023 |
Provider Practice Location
3409A URBANA PIKE STE 2A
FREDERICK
MD
217047794
Practice Location Phone/Fax
| Phone: | 4437884266 |
| Fax: |
Provider Mailing Location
5480 WISCONSIN AVE STE 201
CHEVY CHASE
MD
208153524
Provider Mailing Phone/Fax
| Phone: | 5888301852 |
| Fax: |