Individual
CAITLYN SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT
Contact information
Practice address
115 5TH AVE S, LA CROSSE, WI 54601-9200
(262) 229-9250
Mailing address
717 10TH ST N, LA CROSSE, WI 54601-3463
(507) 460-8014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19576-130
WI
101YM0800X
Mental Health Counselor
Primary
11035-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11035-125
LICENSED PROFESSIONAL COUNSELOR
WI
01
—
19576-130
STATE OF WISCONSIN SAC-IT LICENSE
WI
Enumeration date
08/30/2022
Last updated
10/21/2024
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