person
Sandra L Dettra, BSWCSAC
Addiction (Substance Use Disorder) Counselor in Leesburg, Virginia
NPI 1245637107

Sandra L Dettra is an Addiction (Substance Use Disorder) Counselor based in Leesburg, VA and is specialized in Addiction (Substance Use Disorder). Sandra L Dettra practices in Leesburg, VA and has the professional credentials of BSWCSAC. The NPI Number for Sandra L Dettra is 1245637107 and holds a License No. 0710000797 (Virginia).

The current practice location address for Sandra L Dettra is 15D Loudoun St Sw, Leesburg, VA and can be reached out via phone at 703-362-6682.

Location: 15D Loudoun St Sw, Leesburg, VA, 20175-2908
person
Provider Profile Details
NPI Number
1245637107
Provider Name
Sandra L Dettra
Credential
BSWCSAC
Provider Entity Type
Individual
Gender
Female
Address
15D Loudoun St Sw, Leesburg, VA, 20175-2908
Phone Number
703-362-6682
Fax Number
Provider Enumeration Date
11/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15D Loudoun St Sw
City
State
Zip
20175-2908
Phone Number
703-362-6682
Fax Number
person
Provider Business Mailing Address Details
Address
15D Loudoun St Sw
City
State
Zip
20175-2908
Phone Number
703-362-6682
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0710000797 (Virginia)
Definition
Definition to come...
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