Individual
VICKY A SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LASAC, LPC
Contact information
Practice address
8466 W PEORIA AVE STE 6, PEORIA, AZ 85345
(602) 507-7595
Mailing address
8644 W PEORIA AVE, SUITE 6, PEORIA, AZ 85345
(602) 507-7595
(602) 429-8154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13323
AZ
101YP2500X
Professional Counselor
Primary
17570
AZ
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473197
—
AZ
Enumeration date
05/30/2018
Last updated
06/05/2019
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