Individual
SONNY SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHP-R
Contact information
Practice address
1700 NW CIVIC DR, GRESHAM, OR 97030-3770
(503) 666-8832
Mailing address
2017 SW 2ND CT, GRESHAM, OR 97080-6760
(503) 836-2360
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
24-QMHP-R-2997
OR
Other
Enumeration date
02/07/2024
Last updated
08/08/2024
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