SANDRA L DETTRA BSW CSAC
NPI 1245637107
Counselor - Addiction (Substance Use Disorder) in Leesburg, VA

Active since November 20, 2014
15D LOUDOUN ST SW, LEESBURG, VA 20175(703) 362-6682 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandra L Dettra Bsw Csac NPPES

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

SANDRA L DETTRA BSW CSAC (NPI 1245637107) is an individual addiction (substance use disorder) provider in Leesburg, Virginia, licensed in Virginia (0710000797) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1245637107
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSANDRA L DETTRACredential: BSW CSAC
Location Address15D LOUDOUN ST SWLeesburg, VA 20175-2908
Mailing Address15d Loudoun St SwLeesburg, VA 20175-2908 · (703) 362-6682
Sole ProprietorYes
Enumeration DateNovember 20, 2014
NPI 1245637107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in VA · 0710000797
15D LOUDOUN ST SW, Leesburg, VA 20175

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
15D LOUDOUN ST SW
LEESBURG, VA 20175
Psychologist
15D LOUDOUN ST SW
LEESBURG, VA 20175
Social Worker (Clinical)
15D LOUDOUN ST SW
LEESBURG, VA 20175
Counselor (Mental Health)
15D LOUDOUN ST SW
LEESBURG, VA 20175

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 Sandra Dettra's NPI number?

The NPI number for Sandra Dettra is 1245637107. It was assigned to this individual provider in the NPPES registry on November 20, 2014.

Where is Sandra Dettra located?

Sandra Dettra practices at 15D Loudoun St SW, Leesburg, VA 20175. The listed phone number is (703) 362-6682.

What is Sandra Dettra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Sandra Dettra was last updated on November 20, 2014. 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.