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Individual

KURT A SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MMGT LAC LSW

Contact information

Practice address
101 EAST BROADWAY AVE, HEARTVIEW FOUNDATION, BISMARCK, ND 58501
(701) 222-0386
(701) 255-4891
Mailing address
101 EAST BROADWAY AVE, HEARTVIEW FOUNDATION, BISMARCK, ND 58501
(701) 222-0386
(701) 255-4891

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
INDIVIDUAL 1450
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22514
BCBS
ND
Enumeration date
01/18/2007
Last updated
07/08/2007
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