Organization
STEVEN SNOOK, PH.D., LLC
Active
Other names
Assessment and Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA SROKA (OFFICE ADMINISTRATOR)
(770) 997-1738
Entity
Organization
Contact information
Practice address
1651 PHOENIX BLVD STE 2, COLLEGE PARK, GA 30349-5552
(770) 997-1738
(770) 991-1375
Mailing address
1651 PHOENIX BLVD, STE 2, COLLEGE PARK, GA 30349-5552
(770) 997-1738
(770) 991-1375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC0006197
GA
101YP2500X
Professional Counselor
LPC003891
GA
103T00000X
Psychologist
Primary
PSY0001477
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000545201A
—
GA
05
—
000545201B
—
GA
Enumeration date
09/18/2009
Last updated
11/27/2012
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