Organization
LIFE SEASONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA A. SNYDER LCSW (CLINICIAN)
(877) 838-5741
Entity
Organization
Contact information
Practice address
290 POND RD, LEWISTON, ME 04240-3326
(877) 838-5741
(877) 832-3961
Mailing address
PO BOX 2453, LEWISTON, ME 04241-2453
(877) 838-5741
(877) 832-3961
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VC2175051842
—
ME
Enumeration date
10/03/2012
Last updated
10/03/2012
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