Individual
TYSON SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2901 E 20TH ST STE 204, FARMINGTON, NM 87402-4411
(505) 326-0241
Mailing address
4340 CARDON DR, FARMINGTON, NM 87401-9282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0154681
NM
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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