NPI 1003097437

Dedra Christine Sanna, LCPC

Practitioner Mental Health Counselor Pocatello, ID

Practice location

Address: 409 Washington Ave, Pocatello, ID 83201-4520
Phone: (208) 234-2646
Fax: (208) 232-0035

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LCPC274 (ID)

Other Counselor providers in Idaho →

Registry record

NPI: 1003097437
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2007
Record last updated: 26 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.