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MS. DEDRA CHRISTINE SANNA LCPC
NPI 1003097437
Counselor - Mental Health in Pocatello, ID

Active since November 14, 2007
409 WASHINGTON AVE, POCATELLO, ID 83201(208) 234-2646(208) 232-0035 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Dedra Christine Sanna Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DEDRA CHRISTINE SANNA LCPC (NPI 1003097437) is an individual mental health provider in Pocatello, Idaho, licensed in Idaho (LCPC274) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1003097437
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. DEDRA CHRISTINE SANNACredential: LCPC
Location Address409 WASHINGTON AVEPocatello, ID 83201-4520
Mailing Address409 Washington AvePocatello, ID 83201-4520 · (208) 234-2646 · Fax (208) 232-0035
Phone(208) 234-2646
Fax(208) 232-0035
Sole ProprietorNo
Enumeration DateNovember 14, 2007
Last NPPES UpdateMarch 26, 2015
✔ NPI 1003097437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCPC274
409 WASHINGTON AVE, Pocatello, ID 83201
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Other Names 1

Former Name (1)Mrs. Dedra Christine Quinn Lcpc

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CASSIDY MICHELLE ROSKE LPC
Counselor (Mental Health)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
HEATHER YOUNG
Social Worker (Clinical)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
MR. WILLIAM BRADFORD LANE JR. LPC
Counselor
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
KARI ANNA KOON LPC, CRC, M. COUN
Counselor (Mental Health)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
KATHERINE ANN DOWNES LCPC
Counselor (Professional)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
BROOKS BASTIAN HANKS LPC, MCOUN.
Counselor (Mental Health)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
ANNE TIERNEY LPC
Counselor
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
BRIGHT TOMORROWS, INCORPORATED
Clinic/Center (Adolescent and Children Mental Health)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dedra Sanna's NPI number?

The NPI number for Dedra Sanna is 1003097437. It was assigned to this individual provider in the NPPES registry on November 14, 2007. The provider is also known as Mrs. Dedra Christine Quinn Lcpc.

Where is Dedra Sanna located?

Dedra Sanna practices at 409 Washington Ave, Pocatello, ID 83201. The listed phone number is (208) 234-2646.

What is Dedra Sanna's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dedra Sanna was last updated on March 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.