Individual provider · Type 1 NPI

Dedra Christine Sanna, LCPC

Mental Health Counselor · Pocatello, ID

NPI number 1003097437 Active

Practice location

409 Washington Ave
Pocatello, ID 83201-4520

Call (208) 234-2646 Map

Fax (208) 232-0035

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC274 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1003097437

Dedra Christine Sanna, LCPC's National Provider Identifier is 1003097437, issued on Nov 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Mar 26, 2015.