Individual
MS. DEDRA CHRISTINE SANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
409 WASHINGTON AVE, POCATELLO, ID 83201-4520
(208) 234-2646
(208) 232-0035
Mailing address
409 WASHINGTON AVE, POCATELLO, ID 83201-4520
(208) 234-2646
(208) 232-0035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC274
ID
Other
Enumeration date
11/14/2007
Last updated
03/26/2015
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