person
Ms. Dedra Christine Sanna, LCPC
Mental Health Counselor in Pocatello, Idaho
NPI 1003097437

Dedra Christine Sanna is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Dedra Christine Sanna practices in Pocatello, ID and has the professional credentials of LCPC. The NPI Number for Dedra Christine Sanna is 1003097437 and holds a License No. LCPC274 (Idaho).

The current practice location address for Dedra Christine Sanna is 409 Washington Ave, Pocatello, ID and can be reached out via phone at 208-234-2646 and via fax at 208-232-0035.

Location: 409 Washington Ave, Pocatello, ID, 83201-4520
person
Provider Profile Details
NPI Number
1003097437
Provider Name
Dedra Christine Sanna
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
409 Washington Ave, Pocatello, ID, 83201-4520
Phone Number
208-234-2646
Fax Number
208-232-0035
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
409 Washington Ave
City
State
Zip
83201-4520
Phone Number
208-234-2646
Fax Number
208-232-0035
person
Provider Business Mailing Address Details
Address
409 Washington Ave
City
State
Zip
83201-4520
Phone Number
208-234-2646
Fax Number
208-232-0035
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC274 (Idaho)
Definition
Definition to come...
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