Individual
MS. AUTUMN SNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 IRVINE CENTER DR, IRVINE, CA 92618-2923
(760) 815-2396
Mailing address
30902 CLUBHOUSE DR UNIT 1J, LAGUNA NIGUEL, CA 92677-2378
(949) 295-4199
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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