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Individual
MS. LISA JEANNETTE SNAVELY
Active
Individual
MS. LISA JEANNETTE SNAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUD COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1477380822
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/17/2023
Last updated
05/25/2023
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