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Individual

MS. RADIANCE ALLEN SANNEMAN

Active
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Individual

MS. RADIANCE ALLEN SANNEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC, NCC, CCMHC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12394
MD
101YP2500X
Professional Counselor
0701011435
VA
101YP2500X
Professional Counselor
PRC200001455
DC

Other

Enumeration date
04/14/2020
Last updated
05/14/2024
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