Individual
SANDRA L DINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2801 W BROADWAY, N1, COLUMBIA, MO 65203-1271
(573) 825-0093
(573) 239-1124
Mailing address
2801 W BROADWAY, N1, COLUMBIA, MO 65203-1271
(573) 825-0093
(573) 239-1124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001965
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174188
BLUE SHIELD/BLUE CHOICE
MO
05
—
498580646
—
MO
01
—
534840
HEALTHLINK
MO
Enumeration date
05/26/2006
Last updated
01/22/2014
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