Individual
JAIME RENEE SANSOUCIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., ALC, NCC
Contact information
Practice address
28119 N MAIN ST STE D, DAPHNE, AL 36526-7090
(251) 202-3172
Mailing address
28119 N MAIN ST STE D, DAPHNE, AL 36526-7090
(251) 202-3172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC05748
AL
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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