Individual
FRED A SNELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
(307) 578-2492
Mailing address
1402 MEADOWLANE AVE, CODY, WY 82414
(307) 527-7501
(307) 578-2492
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
09/19/2008
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