# COLETTE RENEE SANNER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1356910285
- **Gender:** F
- **Credential:** LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 2467 | WV | — |
| 101Y00000X | Counselor | PC004636 | PA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 2467 | WV | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | PC004936 | PA | — |
| 101YM0800X | Mental Health Counselor | 2467 | WV | — |
| 101YM0800X | Mental Health Counselor | PC004936 | PA | — |
| 101YP2500X | Professional Counselor | 2467 | WV | Yes |
| 101YP2500X | Professional Counselor | PC004936 | PA | — |

## Other

- **Enumeration date:** 06/24/2021
- **Last updated:** 06/24/2021