Individual
CHARLES SNIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2315 N WELLESLEY DR, BRADENTON, FL 34207-4765
(941) 600-3864
Mailing address
2315 N WELLESLEY DR, BRADENTON, FL 34207-4765
(941) 600-3864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH11663
FL
106H00000X
Marriage & Family Therapist
IMT1993
FL
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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