Individual
MS. VIVICA YVONNE SNYPE-STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMSW, CRC, LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
219
KS
101YP2500X
Professional Counselor
961
KS
104100000X
Social Worker
Primary
7733
KS
Other
Enumeration date
01/27/2011
Last updated
10/26/2012
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