Individual
CHEYENNE J SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3225 HEDLEY RD, SPRINGFIELD, IL 62711-6248
(217) 788-4065
(217) 788-4147
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 788-4065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178016538
IL
101YP2500X
Professional Counselor
Primary
180014650
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178016538
LPC
IL
Enumeration date
08/04/2022
Last updated
08/29/2022
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