Provider Demographics
NPI:1790294619
Name:METTS, SONDRA L (LPC)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:L
Last Name:METTS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11804 COUNTY ROAD 21
Mailing Address - Street 2:
Mailing Address - City:FAYETTE
Mailing Address - State:OH
Mailing Address - Zip Code:43521-9756
Mailing Address - Country:US
Mailing Address - Phone:1419-572-6666
Mailing Address - Fax:
Practice Address - Street 1:11804 COUNTY ROAD 21
Practice Address - Street 2:
Practice Address - City:FAYETTE
Practice Address - State:OH
Practice Address - Zip Code:43521-9756
Practice Address - Country:US
Practice Address - Phone:1419-572-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1500864101YP2500X
OHE.1901450101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional