Individual
DAVID SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8616 NORTHERN AVE, ROCKFORD, IL 61107-5309
(815) 338-8003
(815) 332-6090
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
(815) 391-5041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178-006508
IL
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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