Individual
MS. JENNY LOU SNOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
840 E MAIN ST, PERHAM, MN 56573-1934
(218) 346-6100
(218) 346-6112
Mailing address
CANVAS HEALTH, 8451 E POINT DOUGLAS RD 5, COTTAGE GROVE, MN 55016
(651) 255-8558
(651) 458-5632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303398
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303398
LADC LICENSE
MN
Enumeration date
06/07/2014
Last updated
05/15/2020
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