| Doctor Name: | MS. VIVICA YVONNE SNYPE-STEWART |
| NPI Number: | 1003112889 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LMSW, CRC, LCAC |
| License Number: | 219 |
| Business Practice Address: | 1520 Cherry St Kansas City, MO - 641081530 |
| Business Phone Number: | 8164217643 |
| Business Fax Number: | 8164210405 |
| Mailing Address: | 1520 Cherry St, KANSAS CITY |
| State: | MO |
| Postal Code: | 641081530 |
| Phone Number: | 8164217643 |
| Fax Number: | 8164210405 |
| NPI Enumeration Date: | 01/27/2011 |
| NPI Last Update Date: | 10/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 219 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |