Individual
ERIC SNIPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
925 HIGHWAY V V, KENNETT, MO 63857
(573) 888-5925
Mailing address
925 HIGHWAY V V, P.O. BOX 71, KENNETT, MO 63857
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11594363
CAQH
—
01
—
1618235
FIRST HEALTH/COVENTRY
—
01
—
2719
EAP IMPACT
—
01
—
43111673463857A030
TRIWEST
—
05
—
491108908
—
MO
01
—
913527
HEALTHLINK PPO
—
Enumeration date
06/20/2006
Last updated
08/28/2008
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