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NPI Code Detail

MEDICARE: THERESSA SANON PLPC, NCC

MEDICARE: THERESSA SANON PLPC, NCC
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
1101YS0200XSchool CounselorPLC9592LA

General Provider Information

NPI Number : 1366210734
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESSA SANON PLPC, NCC
Provider Business Mailing Address
First Line : 613 ADEE LN
Second Line :
City : GRETNA
State : LA
Zip : 70056-7619
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2319 VALENCE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-5959
Country : US
Telephone Number : 504-304-3532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2023
Last Update Date : 12/15/2023

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Directions to “ THERESSA SANON PLPC, NCC” Practice Location

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