Sanna, Dedra Christine
Sanna, Dedra Christine is an individual health care provider with primary practice located at 409 Washington Ave , Pocatello ID 83201-4520. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sanna, Dedra Christine can be contacted via phone (208) 234-2646.Contact Information
Primary practice address
409 Washington Ave
Pocatello ID 83201-4520
Phone: (208) 234-2646
Fax: (208) 232-0035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC274 | Idaho |
Profile Details
| NPI number | 1003097437 |
|---|---|
| LBN Legal business name | Sanna, Dedra Christine |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2007 |
| Last updated | Mar 26th, 2015 - about 9 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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