Individual
COLETTE RENEE SANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
45 RIDGEWOOD AVE, WHEELING, WV 26003-5658
(724) 777-6281
Mailing address
45 RIDGEWOOD AVE, WHEELING, WV 26003-5658
(724) 777-6281
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
2467
WV
101YP2500X
Professional Counselor
PC004936
PA
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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