Provider Demographics
NPI:1336352954
Name:VANSANT, SONDRA SMITH (MED, LPC, CCMHC)
Entity Type:Individual
Prefix:MRS
First Name:SONDRA
Middle Name:SMITH
Last Name:VANSANT
Suffix:
Gender:F
Credentials:MED, LPC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 PARKVIEW CRES
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-4485
Mailing Address - Country:US
Mailing Address - Phone:919-942-4460
Mailing Address - Fax:214-481-4460
Practice Address - Street 1:303 PARKVIEW CRES
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-4485
Practice Address - Country:US
Practice Address - Phone:919-942-4460
Practice Address - Fax:214-481-4460
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC87101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional