Individual
CHANCEY ALLEN SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 42ND ST S, FARGO, ND 58103-2119
(701) 212-9275
Mailing address
900 42ND ST S, FARGO, ND 58103-2119
(701) 212-9275
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502363652
—
ND
Enumeration date
11/20/2019
Last updated
11/20/2019
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