Dettra, Sandra L

Dettra, Sandra L is an sole proprietor health care provider with primary practice located at 15D Loudoun St Sw , Leesburg VA 20175-2908. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dettra, Sandra L can be contacted via phone (703) 362-6682.

Contact Information

Primary practice address
15D Loudoun St Sw Leesburg VA 20175-2908
Phone: (703) 362-6682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710000797 Virginia

Profile Details

NPI number 1245637107
LBN Legal business name Dettra, Sandra L
Credentials BSW CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2014
Last updated Nov 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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