Individual
DOUG SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4910 RANDALL PKWY STE B, WILMINGTON, NC 28403-2827
(435) 764-2427
Mailing address
90 E 200 N, LOGAN, UT 84321-4034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15325
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79918
PEHP
UT
Enumeration date
09/28/2006
Last updated
07/06/2020
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