Organization
CRUCIBLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELIA ANN SNYDER PHD, LPC, REAT (PRESIDENT)
(970) 903-3441
Entity
Organization
Contact information
Practice address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(970) 903-3441
Mailing address
219 W WILLOW ST, ROGERS, AR 72756-5450
(970) 903-3441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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