MEDICARE: BRITTANY ANN SANSON NCC, LPC

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
1	101YP2500X	Professional Counselor	PC013519	PA

General Provider Information

NPI Number	:	1740957406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY ANN SANSON NCC, LPC

Provider Business Mailing Address
First Line	:	516 MARWOOD AVE
Second Line	:
City	:	MC KEES ROCKS
State	:	PA
Zip	:	15136-3012
Country	:	US
Telephone Number	:	412-944-7464
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 BRODHEAD RD STE 2
Second Line	:
City	:	MOON TOWNSHIP
State	:	PA
Zip	:	15108-2322
Country	:	US
Telephone Number	:	412-339-1782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	08/30/2021

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