Colette Renee Sanner, LPC
Counselor, Professional in Wheeling, WV. Individual provider (NPI-1).
NPI number1356910285
StatusActive
Last updated in NPPESJun 24, 2021
Details
- NPI
- 1356910285
- Entity type
- Individual (NPI-1)
- Name
- Colette Renee Sanner
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2021
- Certification date
- Jun 24, 2021
- Last updated
- Jun 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2467 | WV | Yes |
| 101Y00000X | Counselor | 2467 | WV | |
| 101Y00000X | Counselor | PC004636 | PA | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 2467 | WV | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | PC004936 | PA | |
| 101YM0800X | Counselor, Mental Health | 2467 | WV | |
| 101YM0800X | Counselor, Mental Health | PC004936 | PA | |
| 101YP2500X | Counselor, Professional | PC004936 | PA |
Practice location
45 Ridgewood AveWheeling, WV 26003-5658
Phone 724-777-6281
Mailing address
45 Ridgewood AveWheeling, WV 26003-5658
Phone 724-777-6281
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