Individual
SUNDRA M CESSNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9052 HWY 429, SALLIS, MS 39160
(540) 840-5951
Mailing address
9052 HWY429, SALLIS, MS 39160
(540) 840-5951
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004636
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945247
—
VA
01
—
1891926309
NPI
VA
01
—
1891929309
NPPES
MS
01
—
C02810
MEDICARE
VA
Enumeration date
07/31/2009
Last updated
09/02/2016
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