Individual
HAYLEY SNODGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 202-0173
Mailing address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 202-0173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426122297
—
IA
Enumeration date
08/03/2022
Last updated
08/03/2022
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