Individual
DANIELLE ANGELIEQUE SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
809 WEST VINE STREET, LIMA, OH 45802
(419) 222-4474
Mailing address
809 W VINE ST, LIMA, OH 45804-1054
(419) 222-4474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
131528
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194109884
—
OH
Enumeration date
07/13/2015
Last updated
07/22/2015
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