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NPI Code Detail

MEDICARE: MRS. CHRISTINA LOUISE SANNI

MEDICARE:  MRS. CHRISTINA LOUISE SANNI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2017014822MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063949659
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA LOUISE SANNI
Provider Business Mailing Address
First Line : PO BOX 105775
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65110-5775
Country : US
Telephone Number : 573-690-7919
Fax Number : 573-886-7771
Provider Business Practice Location Address
First Line : 1026 NORTHEAST DR STE B
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65109-2517
Country : US
Telephone Number : 573-690-7919
Fax Number : 573-636-7771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2017
Last Update Date : 02/03/2022

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Directions to “ MRS. CHRISTINA LOUISE SANNI ” Practice Location

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