Provider Demographics
NPI:1982259933
Name:SONNIER, SUCI ANDREA (LCSW)
Entity Type:Individual
Prefix:
First Name:SUCI
Middle Name:ANDREA
Last Name:SONNIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2570 NE TWIN KNOLLS DR STE 120
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6264
Mailing Address - Country:US
Mailing Address - Phone:541-728-2018
Mailing Address - Fax:541-610-1887
Practice Address - Street 1:2570 NE TWIN KNOLLS DR STE 120
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6264
Practice Address - Country:US
Practice Address - Phone:541-728-2018
Practice Address - Fax:541-610-1887
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL83601041C0700X
ORA48831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical